Atlanta Magazine - Top Doctor Verification Form - Professional Research Services

Congratulations on being nominated as a 2023 Top Doctor for Atlanta magazine! The Top Doctors 2023 list will be published in the July 2023 issue of Atlanta magazine.

To help us ensure the accuracy of our published list, please verify your information below.

The deadline to submit your verified information is Wednesday, March 31st, 2023.

Contact Information
For communication purposes only
Contact Name*
First Last
Contact Email*
Contact Phone
Information to be Published
Complete the following fields to ensure the most up to date information is published for your listing.
Name*
First Middle Last Suffix
Credentials*
Please select one.
- M.D.
- D.O.
Profile Information
Professional Email
Practice Name
Practice Phone
Practice Website
Practice Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hospital Affiliation
Next, please list your top 3 hospital affiliations spelled out (no abbreviations).
Hospital Affiliation
Hospital Affiliation
What makes your practice stand out (special expertise, unique credentials, special equipment, patient ratings, etc.)?
Is the information listed in the nomination letter we sent correct and complete regarding the nominated individual and their practice?*
- Yes
- No
If you need to update your information, please select "No".
Additional Marketing Opportunities
Are you interested in additional print and online marketing opportunities for Atlanta magazine?
- Yes, please contact me
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Phone
This field is for validation purposes and should be left unchanged.

Professional Research Services

Contact Information

Information to be Published

Profile Information

Additional Marketing Opportunities

If you have any questions, please reach out to Sofia Shevin at 248-691-1800 ext. 164 or sshevin@prscom.com.