Provider Demographics
NPI:1174091128
Name:DR EMILY PAPAZOGLOU LLC
Entity type:Organization
Organization Name:DR EMILY PAPAZOGLOU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAZOGLOU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:470-728-5778
Mailing Address - Street 1:2100 RIVEREDGE PKWY STE 1080
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4656
Mailing Address - Country:US
Mailing Address - Phone:470-728-5778
Mailing Address - Fax:
Practice Address - Street 1:2100 RIVEREDGE PKWY STE 1080
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4656
Practice Address - Country:US
Practice Address - Phone:470-728-5778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities