Provider Demographics
NPI:1063641868
Name:PERSONALIZED HEALTHCARE, LLC
Entity Type:Organization
Organization Name:PERSONALIZED HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABRUZESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-303-8889
Mailing Address - Street 1:800 MOUNT VERNON HWY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4295
Mailing Address - Country:US
Mailing Address - Phone:404-303-8889
Mailing Address - Fax:404-303-8887
Practice Address - Street 1:800 MOUNT VERNON HWY
Practice Address - Street 2:SUITE 160
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4295
Practice Address - Country:US
Practice Address - Phone:404-303-8889
Practice Address - Fax:404-303-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty