Organization · NPI-2

Georgia Internal Medicine Care Associates

Internal Medicine · Lithonia, GA

NPI number1679631709
StatusActive
Last updated in NPPESJan 10, 2012

Details

NPI
1679631709
Entity type
Organization (NPI-2)
Legal business name
Georgia Internal Medicine Care Associates
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
Jan 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine32087GAYes

Practice location

5900 Hillandale Dr
Suite 230
Lithonia, GA 30058-3802

Phone 478-475-1299 · Fax 478-405-7928

Mailing address

Po Box 26040
Macon, GA 31221-6040

Phone 478-475-1299 · Fax 478-405-7928

Authorized official

Eddie Whitehead
Doctor
4784751299

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