NPI 1700291671
Supplemental Health Care
Practice location
- Address
- 2631 N Druid Hills Rd NE, Atlanta, GA 30329-3529
- Phone
- (404) 325-7994
- Fax
- (866) 902-7889
- Mailing address
- 2648 E Madison Dr, Atlanta, GA 30360-2027
Authorised official
- Name
- Michelle Dishner
- Title
- Occupational Therapist
- Phone
- (770) 354-0883
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1700291671
- Entity type
- Organization
- NPI issued
- 30 Jun 2014
- Record last updated
- 30 Jun 2014
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.