Organization
LEE BRIAN PADOVE M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE BRIAN PADOVE M.D. (PHYSICIAN)
(404) 252-7400
Entity
Organization
Contact information
Practice address
960 JOHNSON FERRY RD NE, SUITE 336, ATLANTA, GA 30342-1631
(404) 252-7400
(404) 252-1772
Mailing address
960 JOHNSON FERRY RD NE, SUITE 336, ATLANTA, GA 30342-1631
(404) 252-7400
(404) 252-1772
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
029748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00652253B
—
GA
Enumeration date
07/08/2006
Last updated
08/22/2020
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