# WALTON PULMONARY & SLEEP MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679871099
- **Authorized official:** DR. MICHEL JEANNOT MD (OWNER)
- **Authorized official phone:** (678) 928-9700

## Contact information

- **Practice address:** 101 TARA COMMONS DR, LOGANVILLE, GA 30052-8018
- **Practice address phone:** (678) 928-9700
- **Practice address fax:** (770) 466-1585
- **Mailing address:** 101 TARA COMMONS DR, LOGANVILLE, GA 30052-8018
- **Mailing address phone:** (678) 928-9700
- **Mailing address fax:** (770) 466-1585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 065686 | GA | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 065686 | GA | — |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 06/10/2014