Comprehensive Internal Medicine At Northside
Internal Medicine in Atlanta, GA. Organization (NPI-2).
NPI number1679917835
StatusActive
Last updated in NPPESMay 3, 2013
Details
- NPI
- 1679917835
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Internal Medicine At Northside
- Organization subpart
- No
- Enumeration date
- Apr 18, 2013
- Last updated
- May 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
960 Johnson Ferry Rd NeSuite 543
Atlanta, GA 30342-1631
Phone 678-205-9004
Mailing address
11975 Morris RdSuite 140
Alpharetta, GA 30005-4419
Phone 678-205-9004 · Fax 678-205-9005
Authorized official
Jacqueline T Pearson
MD Owner
6782059004
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