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Nouveau Medic Llc
Multi-Specialty Clinic/Center in Atlanta, Georgia
NPI 1104100395

Nouveau Medic Llc is a Multi-Specialty Clinic/Center based in Atlanta, GA and is specialized in Multi-Specialty. Nouveau Medic Llc practices in Atlanta, GA. The NPI Number for Nouveau Medic Llc is 1104100395 and holds a License No. 051126 (Georgia).

The current practice location address for Nouveau Medic Llc is 600 Phipps Blvd Ne Apt 1304, Atlanta, GA and can be reached out via phone at 678-653-0045 and via fax at 404-393-3640.

Location: 600 Phipps Blvd Ne Apt 1304, Atlanta, GA, 30326-3342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104100395
Provider Name
Nouveau Medic Llc
Credential
Provider Entity Type
Organization
Address
600 Phipps Blvd Ne Apt 1304, Atlanta, GA, 30326-3342
Phone Number
678-653-0045
Fax Number
404-393-3640
Provider Enumeration Date
10/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 GA NA
institution
Provider Business Practice Location Address Details
Address
600 Phipps Blvd Ne Apt 1304
City
Atlanta
State
Georgia
Zip
30326-3342
Phone Number
678-653-0045
Fax Number
404-393-3640
person
Provider Business Mailing Address Details
Address
600 Phipps Blvd Ne Apt 1304
City
Atlanta
State
Georgia
Zip
30326-3342
Phone Number
678-653-0045
Fax Number
404-393-3640
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
()
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical & Laboratory Immunology
Taxonomy
207RI0001X
License No.
051126 (Georgia)
Definition
An internal medicine physician who specializes in clinical and laboratory immunology disease management.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
051126 (Georgia)
Definition
Definition to come...
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