Intown Primary Care, Pc

NPI 1104262294 - Internal Medicine - 207R00000X

NPI Details
NPI 1104262294
Enumeration Date 05/15/2013
Last Updated 05/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SCOTT B SCOTT
Position OWNER
Phone (404) 541-0944
Fax (404) 541-0989
Practice Location
730 PONCE DE LEON PL NE
UNIT B
ATLANTA GA, 30306-4287, US
Phone (404) 541-0944
Fax (404) 541-0989
Business Location
730 PONCE DE LEON PL NE
UNIT B
ATLANTA GA, 30306-4287, US
Phone (404) 541-0944
Fax (404) 541-0989
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 039899
Remove 1104262294 NPI Number
 

According to our database, Intown Primary Care, Pc NPI is 1104262294, taxonomy code is 207R00000X and license number is 039899, license state is located at Georgia. Intown Primary Care, Pc physically located at 730 Ponce De Leon Pl Ne, Atlanta GA, 30306-4287. NPI Number 1033115704 has the healthcare provider type.

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1104262294 NPI number is provided on an as is basis without warranty of any kind. 1104262294 is maintained by the National Plan & Provider Enumeration System. The contents of Intown Primary Care, Pc are for informational purposes only.