Adrienne    Garofalo    PA-C
Contract Details
Shepherd Center
Facility name
Provider ID
P000008697
NPI
1962831941
Tax ID
510141601
Effective Date
5/10/2017
Last Updated
7/23/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_389
Location Details
Address
2020 Peachtree Road, NW
Atlanta, GA 30309
United States
County
Fulton
Phone
4043507694 (Phone)
Billing Details
Address
2020 Peachtree Road, NW
Atlanta, GA 30309
Billing Phone
4043507694
Specialty Type
Physical Medicine & Rehabilitation
Map
Address