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Individual

DR. PRADEEP C JOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 JOHNSON FY RD NE STE 600, ATLANTA, GA 30342-1739
(404) 256-4777
(404) 256-5515
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(404) 256-4777
(404) 256-5515

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
022798
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000294115AA
GA
05
000294115AB
GA
Enumeration date
01/03/2006
Last updated
04/21/2021
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