NPI 1538559729

Mind's Eye Enterprises, LLC

Organisation Preferred Provider Organization Atlanta, GA

Practice location

Address: 455 E Paces Ferry Rd NE Suite 332, Atlanta, GA 30305-3313
Phone: (404) 245-1344
Fax: (404) 352-5132
Mailing address: 1150 Collier Rd NW Unit A-4, Atlanta, GA 30318-2941

Authorised official

Name: Donna Sewell
Title: Owner
Phone: (404) 245-1344

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CSW003818 (GA)

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Registry record

NPI: 1538559729
Entity type: Organization
NPI issued: 27 Jan 2015
Record last updated: 27 Jan 2015

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.