Provider Demographics
NPI:1487833612
Name:SYNERGY MEDICAL CENTERS OF ATLANTA
Entity Type:Organization
Organization Name:SYNERGY MEDICAL CENTERS OF ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MARCONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-705-1547
Mailing Address - Street 1:240 N HIGHLAND AVE NE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-5609
Mailing Address - Country:US
Mailing Address - Phone:404-588-0804
Mailing Address - Fax:404-588-0807
Practice Address - Street 1:240 N HIGHLAND AVE NE
Practice Address - Street 2:SUITE F
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-5609
Practice Address - Country:US
Practice Address - Phone:404-588-0804
Practice Address - Fax:404-588-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty