Provider Demographics
NPI:1316273618
Name:METRO MEDICAL & DENTAL SERVICES INC.
Entity type:Organization
Organization Name:METRO MEDICAL & DENTAL SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-257-1101
Mailing Address - Street 1:6255 BARFIELD RD NE
Mailing Address - Street 2:SUITE 155
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4319
Mailing Address - Country:US
Mailing Address - Phone:404-255-1101
Mailing Address - Fax:404-257-1431
Practice Address - Street 1:6255 BARFIELD RD NE
Practice Address - Street 2:SUITE 155
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4319
Practice Address - Country:US
Practice Address - Phone:404-255-1101
Practice Address - Fax:404-257-1431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty