Organization · Type 2 NPI

Board of Regents of the University System of Georgia and On Behalf....

General Practice Physician · Atlanta, GA

NPI number 1245965813 Active

Practice location

141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417

Call (404) 413-1930 Map

Fax (404) 413-1955

Mailing address

PO Box 3996
Atlanta, GA 30302-3996

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

6 other providers at this address

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About NPI 1245965813

Board of Regents of the University System of Georgia and On Behalf....'s National Provider Identifier is 1245965813, issued on Jul 19, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 19, 2022.