Provider Demographics
NPI:1184092256
Name:MEDICAL&BUSINESS GROUP, LLC
Entity type:Organization
Organization Name:MEDICAL&BUSINESS GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL EDUCATOR/OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:MALERIA
Authorized Official - Middle Name:QUEN-TETTE
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DBA (ABD), CBCS, RTO
Authorized Official - Phone:404-946-9999
Mailing Address - Street 1:3379 PEACHTREE RD NE STE 555
Mailing Address - Street 2:SUITE 555-B21
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1418
Mailing Address - Country:US
Mailing Address - Phone:404-946-9999
Mailing Address - Fax:404-946-9899
Practice Address - Street 1:3379 PEACHTREE RD NE STE 555
Practice Address - Street 2:SUITE 555-B21
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1418
Practice Address - Country:US
Practice Address - Phone:404-946-9999
Practice Address - Fax:404-946-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty