# PHYSICIANS' IMMEDIATE MED

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

## Provider details

- **NPI number:** 1942240346
- **Authorized official:** LORETTA P HART (BRANCH MANAGER/CREDENTIALING)
- **Authorized official phone:** (770) 505-3000

## Contact information

- **Practice address:** 10905 HAYNES BRIDGE RD, ALPHARETTA, GA 30022-4807
- **Practice address phone:** (770) 505-3000
- **Practice address fax:** (770) 753-4228
- **Mailing address:** 10905 HAYNES BRIDGE RD, ALPHARETTA, GA 30022-4807
- **Mailing address phone:** (770) 505-3000
- **Mailing address fax:** (770) 753-4228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 08/22/2020