Organization
IMPACT PHYSICIAN GROUP PULMONARY LLC
Active
Organization
IMPACT PHYSICIAN GROUP PULMONARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MILLER (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
1260 CITY CENTER DR, CARMEL, IN 46032-3810
(463) 333-9110
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
(260) 407-8005
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
08/02/2022
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