Provider Demographics
NPI:1053684043
Name:A B MEDICAL INVESTMENT-LLC
Entity Type:Organization
Organization Name:A B MEDICAL INVESTMENT-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-845-2238
Mailing Address - Street 1:3695F CASCADE RD SW STE 2179
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2105
Mailing Address - Country:US
Mailing Address - Phone:770-846-2239
Mailing Address - Fax:
Practice Address - Street 1:1773 SWEETWATER ST
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-3294
Practice Address - Country:US
Practice Address - Phone:770-846-2238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROFESSIONAL PAIN THERAPY AND INTERVENTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain