Organization
NORTHEAST GEORGIA PHYSICIANS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY ANN DODD (EXECUTIVE DIRECTOR PHYSICIAN SERVIC)
(770) 219-8453
Entity
Organization
Contact information
Practice address
1515 RIVER PL STE 380, BRASELTON, GA 30517-5605
(770) 848-9345
Mailing address
1515 RIVER PL STE 380, BRASELTON, GA 30517-5605
(770) 848-9345
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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