Whalio Doctors

NPI 1003058165

Extreme Medical Group, INC.

Organisation Internal Medicine Physician Atlanta, GA

Practice location

Address
2484 Briarcliff Rd NE Suite 22-353, Atlanta, GA 30329-3011
Phone
(678) 237-6363

Authorised official

Name
Didier Gutierrez
Title
President
Phone
(678) 237-6363

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1003058165
Entity type
Organization
NPI issued
3 Apr 2009
Record last updated
3 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.