Jacob Varghese M.D.

NPI 1093877961 - Family Medicine - 207Q00000X

NPI Details
NPI 1093877961
Gender Male
Enumeration Date 12/15/2006
Last Updated 03/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1400 NORTHSIDE FORSYTH OFFICE
SUITE 350
CUMMING GA, 30041, US
Phone (404) 365-0966
Fax (770) 650-5589
Business Location
3495 PIEDMONT ROAD NE
NINE PIEDMONT CENTER
ATLANTA GA, 30305, US
Phone (404) 364-7070
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 056933
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According to our database, Dr. Jacob Varghese M.D. NPI is 1093877961, taxonomy code is 207Q00000X and license number is 056933, license state is located at Georgia. Jacob Varghese M.D. physically located at 1400 Northside Forsyth Office, Cumming GA, 30041. NPI Number Jacob Varghese M.D. has the Individual type.

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1093877961 NPI number is provided on an as is basis without warranty of any kind. 1093877961 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Varghese M.D. are for informational purposes only.