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Organization

EAGLES LANDING GASTROENTEROLOGY P.C.

Active
Other names
Khalid Jalil M.D.P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHALID JALIL M.D., M.P.H. (PHYSICIAN/PRES-CORPORATION)
(770) 389-9642
Entity
Organization

Contact information

Practice address
1008 HOSPITAL DR, STOCKBRIDGE, GA 30281-7384
(770) 389-9642
(770) 389-9207
Mailing address
1008 HOSPITAL DR, STOCKBRIDGE, GA 30281-7384
(770) 389-9642
(770) 389-9207

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
039829
GA

Other

Enumeration date
10/04/2011
Last updated
10/04/2011
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