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Organization
ST PAUL MEDICAL INC
Active
Organization
ST PAUL MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN PABLO TORRES (OWNER)
(404) 731-2931
Entity
Organization
Contact information
Practice address
3001 S COBB DR SE, SUITE 205, SMYRNA, GA 30080-7874
(404) 731-2931
Mailing address
PO BOX 90150, ATLANTA, GA 30364-0150
(404) 731-2931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
01/16/2013
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