NPI 1609312487

Alamo Health Group, LLC

Organisation Prevention Professional Atlanta, GA

Practice location

Address: 4816 Ashford Ln, Atlanta, GA 30338-2650
Phone: (770) 652-3667
Mailing address: PO Box 501741, Atlanta, GA 31150-1741

Authorised official

Name: Mark Reznik
Title: Clinic Administrator
Phone: (770) 652-3667

Registered specialties (3)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

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Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

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Registry record

NPI: 1609312487
Entity type: Organization
NPI issued: 17 Jan 2017
Record last updated: 17 Jan 2017

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.