Organization
IMPACT PHYSICIAN GROUP, OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MILLER (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
23333 HARVARD RD, BEACHWOOD, OH 44122-6232
(216) 593-2200
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
12/19/2022
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