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Organization
SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Active
Organization
SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Active
Other names
SOUND PHYSICIANS OF GEORGIA
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KODJABABIAN (CRO)
(253) 682-1710
Entity
Organization
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 991-8000
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
(253) 284-1881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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