Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pro-Med of Atlanta, PC

Organization General Practice Physician · NPI 1730491473

Pro-Med of Atlanta, PC is a General Practice Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4646 N Shallowford Rd #400
Atlanta, GA 30338
Phone: (770) 676-6000
Fax: (770) 392-9805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence AT2218116 (GA)
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1730491473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Tanner — Medical Doctor · (770) 676-6000
NPI enumeratedJuly 10, 2010
Last updated in NPPESJuly 10, 2010
Mailing address4646 N Shallowford Rd, 400, Atlanta, GA 30338-6308

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