Organization · Type 2 NPI

Providence Medical Group, PC

Internal Medicine Physician · Atlanta, GA

NPI number 1063570604 Active

Practice location

550 Peachtree St NE, Suite 1285
Atlanta, GA 30308-2249

Call (404) 856-3213 Map

Fax (404) 856-3217

Mailing address

PO Box 4047
Macon, GA 31208-4047

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X051703 (GA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1063570604

Providence Medical Group, PC's National Provider Identifier is 1063570604, issued on Dec 5, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 19, 2012.