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Organization · Internal Medicine Physician · Chamblee, GA

NPI

1528113107

Type

Organization (Type 2)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

46800 (GA)

Enumerated

2007-01-24

Last updated

2026-04-25