Active NPI 1265428312 Individual Practitioner Male Practitioner

Dr. Edwin B Tirado , MD

Internal Medicine • Gainesville, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Tirado, MD is a certified Internal Medicine practicing in Gainesville, GA. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Tirado delivers high-quality medical care to the local community at 1315 JESSE JEWELL PKWY NE.

Dr. Tirado is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1315 Jesse Jewell Pkwy Ne
Suite #110

Gainesville, GA 305013822

Telephone 7702190023

Fax 7702190694

Associated Practice Facility / Clinic

🏢 Northeast Georgia Physicians Group Inc Facility NPI 1891745212

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +8.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

83 Specialists

Practicing in Gainesville, GA (4065 Statewide)

Telehealth Adoption Rate

24.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tirado (29 Years) 29 Yrs

Gainesville Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	411	208	$234.95	$119.21
36415 Insertion of needle into vein for collection of blood sample	330	208	$19.12	$8.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$260.00	$120.20
83036 Hemoglobin A1C level	115	72	$32.00	$9.52
G0008 Administration of influenza virus vaccine	52	51	$51.00	$30.39
90662 Influenza vaccine split virus, preservative free	47	46	$95.00	$79.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	17	$55.00	$20.96
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	31	31	$23.00	$6.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	29	$23.10	$7.36
81003 Automated urinalysis test	28	26	$8.00	$2.12
82570 Creatinine level to test for kidney function or muscle injury	28	27	$18.00	$5.08
82043 Urine microalbumin (protein) level	28	27	$20.00	$5.66
90480 Admn sarscov2 vacc 1 dose	25	25	$69.00	$40.52
91322 Sarscov2 vac 50 mcg/0.5ml im	25	25	$157.80	$150.76
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	19	11	$112.00	$32.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$362.00	$157.52
G0009 Administration of pneumococcal vaccine	19	19	$51.00	$30.39
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$400.00	$290.15
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$73.00	$13.23
85018 Blood count, hemoglobin	14	11	$18.00	$2.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	228	$216.74	$121.25
36415 Insertion of needle into vein for collection of blood sample	347	207	$19.00	$8.35
83036 Hemoglobin A1C level	135	82	$29.00	$9.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$253.30	$123.29
G0008 Administration of influenza virus vaccine	68	68	$44.00	$28.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	59	13	$51.00	$21.18
90662 Influenza vaccine split virus, preservative free	59	59	$95.00	$71.53
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	48	11	$97.00	$33.54
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$145.73	$85.86
82043 Urine microalbumin (protein) level	29	28	$18.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	29	28	$16.00	$5.08
81003 Automated urinalysis test	28	24	$8.00	$2.20
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	27	26	$20.00	$6.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	24	$23.00	$7.61
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$73.22	$13.63
90480 Admn sarscov2 vacc 1 dose	21	21	$60.00	$38.49
G0009 Administration of pneumococcal vaccine	18	18	$44.00	$28.87
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$400.00	$281.28
91322 Sarscov2 vac 50 mcg/0.5ml im	18	18	$151.00	$143.00
71046 X-ray of chest, 2 views	16	16	$90.00	$20.97
0124A Fee covid-19 vac 13 res	14	14	$44.00	$38.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$334.50	$159.36
85018 Blood count, hemoglobin	12	12	$16.00	$2.32
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	12	12	$250.00	$139.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	426	238	$19.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	209	$193.00	$121.96
83036 Hemoglobin A1C level	127	79	$29.00	$9.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	114	114	$229.00	$125.02
99213 Established patient office or other outpatient visit, typically 15 minutes	104	80	$130.00	$85.54
G0008 Administration of influenza virus vaccine	58	58	$44.00	$27.23
90662 Influenza vaccine split virus, preservative free	54	54	$95.00	$68.10
G0009 Administration of pneumococcal vaccine	42	42	$44.00	$27.38
81003 Automated urinalysis test	42	38	$8.00	$2.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	42	40	$23.00	$7.67
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	34	31	$20.00	$6.38
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	34	34	$400.00	$279.07
82570 Creatinine level to test for kidney function or muscle injury	29	29	$16.00	$5.12
82043 Urine microalbumin (protein) level	29	29	$18.00	$5.71
80053 Blood test, comprehensive group of blood chemicals	26	25	$37.00	$10.49
93000 Routine ekg using at least 12 leads including interpretation and report	25	22	$64.00	$13.52
0064A Adm sarscov2 50mcg/0.25mlbst	23	22	$44.00	$34.77
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	22	22	$44.00	$36.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	12	$51.00	$21.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$306.00	$160.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$245.00	$50.17
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	15	14	$250.00	$141.01
85018 Blood count, hemoglobin	13	12	$16.00	$2.34
0134A Fee covid-19 vac 14 res	12	12	$44.00	$35.92
0124A Fee covid-19 vac 13 res	12	12	$44.00	$35.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	407	242	$19.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	231	$188.00	$123.31
83036 Hemoglobin A1C level	145	93	$29.00	$9.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$229.00	$126.39
99213 Established patient office or other outpatient visit, typically 15 minutes	85	71	$128.00	$87.83
G0008 Administration of influenza virus vaccine	74	74	$44.00	$15.74
90662 Influenza vaccine split virus, preservative free	64	64	$95.00	$65.13
80053 Blood test, comprehensive group of blood chemicals	48	47	$37.00	$10.34
0003A Adm sarscov2 30mcg/0.3ml 3rd	44	44	$44.00	$36.95
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	42	42	$20.00	$6.47
80061 Blood test, lipids (cholesterol and triglycerides)	35	35	$45.00	$13.01
82570 Creatinine level to test for kidney function or muscle injury	34	33	$16.00	$5.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$306.00	$162.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	34	33	$23.00	$7.54
82043 Urine microalbumin (protein) level	34	33	$18.00	$5.78
0064A Adm sarscov2 50mcg/0.25mlbst	32	32	$44.00	$36.95
81003 Automated urinalysis test	29	27	$8.00	$2.25
0004A Fee covid-19 vac 1 res	27	27	$44.00	$36.95
G0009 Administration of pneumococcal vaccine	26	25	$44.00	$15.79
99441 Telephone medical discussion with physician, 5-10 minutes	20	17	$47.00	$47.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$193.00	$124.34
93000 Routine ekg using at least 12 leads including interpretation and report	17	14	$64.00	$14.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$245.00	$50.42
71046 X-ray of chest, 2 views	14	13	$90.00	$20.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$217.00	$103.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	510	252	$184.94	$104.83
36415 Insertion of needle into vein for collection of blood sample	392	240	$19.00	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$229.00	$111.48
83036 Hemoglobin A1C level	121	81	$29.00	$9.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	111	21	$188.00	$89.77
G0008 Administration of influenza virus vaccine	84	81	$43.50	$15.89
90662 Influenza vaccine split virus, preservative free	72	69	$86.88	$59.94
G0009 Administration of pneumococcal vaccine	41	41	$42.29	$15.81
99442 Telephone medical discussion with physician, 11-20 minutes	35	31	$74.34	$62.73
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$128.00	$72.53
82570 Creatinine level to test for kidney function or muscle injury	32	32	$16.00	$5.01
81003 Automated urinalysis test	32	28	$8.00	$2.24
82043 Urine microalbumin (protein) level	31	31	$18.00	$5.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$306.00	$156.03
93000 Routine ekg using at least 12 leads including interpretation and report	28	25	$62.18	$16.26
90670 Pneumococcal vaccine for injection into muscle	24	24	$328.54	$220.24
80061 Blood test, lipids (cholesterol and triglycerides)	24	24	$45.00	$13.39
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	20	19	$22.20	$13.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	18	$23.00	$7.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$182.29	$119.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$36.50	$19.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	591	306	$184.00	$104.23
36415 Insertion of needle into vein for collection of blood sample	494	283	$19.00	$2.93
83036 Hemoglobin A1C level	160	95	$29.00	$10.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$229.00	$111.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	143	38	$188.00	$89.80
G0008 Administration of influenza virus vaccine	79	76	$35.90	$15.20
90662 Influenza vaccine split virus, preservative free	65	64	$81.11	$54.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	19	$49.00	$15.89
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	16	$5.00	$1.81
81003 Automated urinalysis test	44	35	$8.00	$2.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$306.00	$160.00
G0009 Administration of pneumococcal vaccine	35	33	$34.43	$15.59
82570 Creatinine level to test for kidney function or muscle injury	26	26	$16.00	$5.63
82043 Urine microalbumin (protein) level	26	26	$18.00	$6.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	12	$184.00	$39.35
85018 Blood count, hemoglobin	20	15	$16.00	$2.58
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$349.00	$164.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$144.37	$111.26
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$59.00	$16.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$245.00	$51.27
90670 Pneumococcal vaccine for injection into muscle	16	16	$237.00	$206.64
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$56.36	$15.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	377	231	$128.00	$68.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	360	235	$184.00	$101.90
83036 Hemoglobin A1C level	157	99	$29.00	$11.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	146	37	$188.00	$88.17
36415 Insertion of needle into vein for collection of blood sample	111	102	$19.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	24	$49.00	$19.16
G0008 Administration of influenza virus vaccine	63	63	$34.00	$18.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	55	16	$5.00	$1.95
90662 Influenza vaccine split virus, preservative free	54	54	$53.00	$49.80
85610 Blood test, clotting time	46	12	$13.00	$4.75
81003 Automated urinalysis test	35	30	$8.00	$2.71
82570 Creatinine level to test for kidney function or muscle injury	33	33	$16.00	$6.26
82043 Urine microalbumin (protein) level	33	33	$18.00	$7.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$229.00	$110.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$217.00	$103.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$306.00	$158.49
85018 Blood count, hemoglobin	27	25	$16.00	$2.87
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$349.00	$154.31
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$59.00	$16.05
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	12	$29.00	$16.20
82947 Blood glucose (sugar) level	13	13	$26.00	$4.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	572	290	$127.89	$68.63
36415 Insertion of needle into vein for collection of blood sample	288	213	$19.00	$2.93
83036 Hemoglobin A1C level	136	86	$29.00	$13.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	114	33	$188.00	$87.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	92	$184.00	$102.30
G0008 Administration of influenza virus vaccine	66	65	$34.00	$23.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	21	$49.00	$23.58
85610 Blood test, clotting time	63	12	$13.00	$5.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$217.00	$101.73
90662 Influenza vaccine split virus, preservative free	49	48	$64.22	$46.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	45	13	$5.00	$2.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$229.00	$109.36
81003 Automated urinalysis test	41	35	$8.00	$3.02
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	26	$276.00	$121.76
80053 Blood test, comprehensive group of blood chemicals	21	21	$37.00	$11.65
85018 Blood count, hemoglobin	20	18	$16.00	$3.18
80061 Blood test, lipids (cholesterol and triglycerides)	19	19	$45.00	$13.84
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$32.88	$18.65
82570 Creatinine level to test for kidney function or muscle injury	15	15	$16.00	$6.96
82044 Urine microalbumin (protein) analysis	14	14	$20.00	$6.15
G0009 Administration of pneumococcal vaccine	12	12	$34.00	$23.40

Medical Specialties & State Licenses

CMS Verified: 2020-10-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 061866

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

1315 Jesse Jewell Pkwy Ne, Gainesville, GA 305013822

Phone: 7702190023

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners

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Nurse Practitioner - Acute Care

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Doctor of Nursing Practice

Dr. Mohamad Halwani , DO

Student in an Organized Health Care Education/Training Program

NPI 1043004112

Doctor of Osteopathic Medicine (D.O.)

Abigail Cortez , FNP-C

Nurse Practitioner - Family

NPI 1093469967

Family Nurse Practitioner (Certified)

Dr. Sree Varuntej Uppalapati , MD

Student in an Organized Health Care Education/Training Program

NPI 1093575268

Doctor of Medicine (M.D.)

Dr. Darrin Lowe , DO

Student in an Organized Health Care Education/Training Program

NPI 1114622297

Doctor of Osteopathic Medicine (D.O.)

Dr. Oluwafemi Olukayode , MD

General Practice

NPI 1134822281

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2015

Registered at 1315 JESSE JEWELL PKWY NE, SUITE #110, GAINESVILLE, GA 305013822 (Tel: 7702190023)

📍

Updated Business Mailing Address December 21, 2015

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

👤

Provider Name / Credentials Updated December 21, 2015

Recorded as EDWIN TIRADO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2015

Internal Medicine (License #061866 in GA)

🟢

Initial NPI Registration & Enumeration September 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265428312

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2005

Last Update: October 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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