24 On Physicians, P.c. | |
11 Upper Riverdale Rd Riverdale GA 30274-2600 | |
(770) 897-7107 | |
(770) 897-7109 |
Full Name | 24 On Physicians, P.c. |
---|---|
Speciality | Internal Medicine |
Location | 11 Upper Riverdale Rd, Riverdale, Georgia |
Authorized Official Name and Position | Dan A. Fuller (VP/SECRETARY) |
Authorized Official Contact | 7707400895 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
24 On Physicians, P.c. Po Box 403631 Atlanta GA 30384-3631 Ph: (770) 740-0895 | 24 On Physicians, P.c. 11 Upper Riverdale Rd Riverdale GA 30274-2600 Ph: (770) 897-7107 |
NPI Number | 1366779274 |
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Provider Enumeration Date | 11/13/2009 |
Last Update Date | 11/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366779274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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