DUNWOODY PROFESSIONAL MEDICAL INC
Ambulatory Health at Shallowford Rd, Atlanta, GA

License number
Georgia 042868
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MOINUDDIN KAZI MD
Title: CEO
Phone: (770) 455-8285
Address
Address 2
4480 N Shallowford Rd, Atlanta, GA 30338
2803 Priestcliff Dr, Smyrna, GA 30080
National Provider ID: 1902064595
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DUNWOODY PROFESSIONAL MEDICAL INC at bizstanding.com

DUNWOODY PROFESSIONAL MEDICAL, INC

Smyrna, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Dunwoody Professional Medical
Registration:
Dec 20, 2001
Addresses:
2803 Prirstcliff Rd SE, Smyrna, GA 30080 (Physical)
2803 Priestcliff Dr SE, Smyrna, GA 30080
State ID:
0200255
Business type:
Domestic Profit Corporation
Principals:
I M Taher (CFO), 2803 Prirstcliff Rd SE, Smyrna, GA 30080 (Physical),Kazi Moin Md (CEO), 2803 Prirstcliff Rd SE, Smyrna, GA 30080 (Physical),Moin Kazi Principal, inactive
Agent:
Moin Kazi Md,2803 Prirstcliff Rd SE, Smyrna, GA (Physical)

Ambulatory Health licenses in Georgia










Other Doctors licenses in Georgia