Georgia Internal Med Assoc 2 Llc

NPI 1457481152 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1457481152
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALICIA ALICIA
Position LEAD
Phone (404) 943-0205
Fax
Practice Location
3875 AUSTELL RD
SUITE 101
AUSTELL GA, 30106-1103, US
Phone (404) 943-0205
Fax
Business Location
PO BOX 468329
ATLANTA GA, 31146-8329, US
Phone (404) 943-0205
Fax
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Georgia Internal Med Assoc 2 Llc NPI is 1457481152, taxonomy code is 207V00000X Georgia Internal Med Assoc 2 Llc physically located at 3875 Austell Rd, Austell GA, 30106-1103. NPI Number 1033115704 has the healthcare provider type.

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1457481152 NPI number is provided on an as is basis without warranty of any kind. 1457481152 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Internal Med Assoc 2 Llc are for informational purposes only.