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PROFESSIONAL MEDICAL & REHAB CLINIC
NPI 1669716718
Clinic/Center - Primary Care in Atlanta, GA

Active since November 15, 2012
2636 MARTIN LUTHER KING JR DR SW, STE. 12, ATLANTA, GA 30311(404) 748-4952(404) 696-2823 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Medical & Rehab Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL MEDICAL & REHAB CLINIC (NPI 1669716718) is a healthcare organization registered as a primary care in Atlanta, Georgia and active in the NPI registry since November 2012. The organization lists Michael Lee, Member, as its authorized official.

NPPES Registry Identity

NPI1669716718
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROFESSIONAL MEDICAL & REHAB CLINIC
Location Address2636 MARTIN LUTHER KING JR DR SW, STE. 12Atlanta, GA 30311-1634
Mailing Address2636 Martin Luther King Jr Dr Sw, Ste. 12Atlanta, GA 30311-1634 · (404) 748-4952 · Fax (404) 696-2823
Phone(404) 748-4952
Fax(404) 696-2823
Organization SubpartNo
Authorized OfficialMichael LeeMember · (404) 748-4952
Enumeration DateNovember 15, 2012
✔ NPI 1669716718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2636 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30311
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHBW MEDICAL &REHAB CLINIC
Clinic/Center (Primary Care)
2636 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30311
Fulton County (770) 256-7033
MS. GUITY, LCSW. LLC
Point of Service
2636 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30311
Fulton County (646) 726-5970
DR. RUSSELL KAWAKAMI LPC
Counselor (Professional)
2636 MARTIN LUTHER KING JR DR SW, STE 24
ATLANTA, GA 30311
Fulton County (770) 823-2277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Medical & Rehab Clinic's NPI number?

The NPI number for Professional Medical & Rehab Clinic is 1669716718. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Professional Medical & Rehab Clinic located?

Professional Medical & Rehab Clinic is located at 2636 Martin Luther King Jr Dr SW Ste. 12, Atlanta, GA 30311. The listed phone number is (404) 748-4952.

What is Professional Medical & Rehab Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Professional Medical & Rehab Clinic was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.