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Metamorphosis Medical Group
Medical Specialty Clinic/Center in Roswell, Georgia
NPI 1538458690

Metamorphosis Medical Group is a Medical Specialty Clinic/Center based in Roswell, GA and is specialized in Medical Specialty. Metamorphosis Medical Group practices in Roswell, GA. The NPI Number for Metamorphosis Medical Group is 1538458690 and holds a License No. 044520 (Georgia).

The current practice location address for Metamorphosis Medical Group is 1792 Woodstock Rd, Roswell, GA and can be reached out via phone at 678-218-1710 and via fax at 678-218-1714.

Location: 1792 Woodstock Rd, Roswell, GA, 30075-2199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538458690
Provider Name
Metamorphosis Medical Group
Credential
Provider Entity Type
Organization
Address
1792 Woodstock Rd, Roswell, GA, 30075-2199
Phone Number
678-218-1710
Fax Number
678-218-1714
Provider Enumeration Date
03/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1792 Woodstock Rd
City
Roswell
State
Georgia
Zip
30075-2199
Phone Number
678-218-1710
Fax Number
678-218-1714
person
Provider Business Mailing Address Details
Address
1792 Woodstock Rd
City
Roswell
State
Georgia
Zip
30075-2199
Phone Number
678-218-1710
Fax Number
678-218-1714
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
044520 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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