Whalio Doctors

NPI 1659685808

Information Resource INC

Organisation Point of Service Stone Mountain, GA

Practice location

Address
4719 Central Dr APT 4l, Stone Mountain, GA 30083-2629
Phone
(404) 388-8405

Authorised official

Name
Timothy Brown
Title
Owner
Phone
(404) 388-8405

Registered specialties (2)

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X
Point of Service
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1659685808
Entity type
Organization
NPI issued
29 Jul 2010
Record last updated
21 Jul 2022

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.