| Pathway Internal Medicine | |
|
120 Hickory Rd Canton GA 30115-9600 | |
| (770) 720-2221 | |
| Not Available |
| Full Name | Pathway Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Hickory Rd, Canton, Georgia |
| Authorized Official Name and Position | Robert Allen Mills (OWNER) |
| Authorized Official Contact | 7707202221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Internal Medicine 120 Hickory Rd Canton GA 30115-9600 Ph: (770) 720-2221 | Pathway Internal Medicine 120 Hickory Rd Canton GA 30115-9600 Ph: (770) 720-2221 |
| NPI Number | 1790968287 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 12/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790968287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032252 (Georgia) | Primary |
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