Individual
OTIS A PLUNK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 HAMMOND DR NE, BUILDING I, STE 9100, ATLANTA, GA 30328-5338
(770) 393-1362
(770) 393-1743
Mailing address
1140 HAMMOND DR NE, BUILDING I, STE 9100, ATLANTA, GA 30328-5338
(770) 393-1362
(770) 393-1743
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
054852
GA
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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