Organization
JAMES E. GLEASON JR, MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E GLEASON JR. MD (MD)
(770) 994-6969
Entity
Organization
Contact information
Practice address
33 UPPER RIVERDALE RD SW STE 118, RIVERDALE, GA 30274-2642
(770) 994-6969
(888) 651-5324
Mailing address
PO BOX 962466, RIVERDALE, GA 30296-6923
(678) 361-8091
(888) 651-5324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000573922D
—
GA
Enumeration date
11/19/2007
Last updated
01/17/2024
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