MILTON MEDICAL GROUP LLC NPI 1043680341

NPI Information

MILTON MEDICAL GROUP, LLC is a primary care clinic center in Alpharetta, GA. MILTON MEDICAL GROUP, LLC NPI is 1043680341. The provider is registered as an organization entity type.

The provider's business location address is:

735 N MAIN ST
1100
ALPHARETTA, GA
ZIP 30009-405
Phone: (678) 827-9157
Fax: (470) 299-6262

The provider's authorized official is Savitha Shama .
The authorized official title is Owner and has the following contact phone number (678) 827-9157.

The CLIA number assigned to this NPI record is 11D2108669 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 7/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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