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Bow Peak Inpatient Services LLC

Internal Medicine in Snellville, GA. Organization (NPI-2).

NPI number1851700629
StatusActive
Last updated in NPPESDec 9, 2019

Details

NPI
1851700629
Entity type
Organization (NPI-2)
Legal business name
Bow Peak Inpatient Services LLC
Organization subpart
No
Enumeration date
Aug 6, 2014
Certification date
Dec 9, 2019
Last updated
Dec 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1700 Medical Way
Snellville, GA 30078-2195

Phone 973-251-1132

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331

Phone 973-251-1132

Authorized official

Gregory Byrne
President
9732511132

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