Lawrence Joel Army Health Clinic is a health care provider in Riverdale, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1701 Hardee Ave S. W., Fort Mcpherson, Atlanta, GA 30330, US|
|Practice Location Phone||404-464-0405|
|Practice Location Fax||404-464-0475|
|Legal Business Name||LAWRENCE JOEL ARMY HEALTH CLINIC|
|Enumeration Date ?||Jan 24, 2007|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC)||4326||Alabama|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lawrence Joel Army Health Clinic's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Melida E. Delerme (M.D.)|
|Authorized Official Title/Position||INTERNAL MEDICINE PROVIDER|
|Authorized Official Phone Number||404-464-0405|