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Organization

BIANCO INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BIANCO (DO/AUTHORIZED REP/OWNER)
(678) 254-2333
Entity
Organization

Contact information

Practice address
12315 CRABAPPLE RD, SUITE 108, ALPHARETTA, GA 30004-6329
(678) 254-2333
(678) 254-2332
Mailing address
12315 CRABAPPLE RD, SUITE 108, ALPHARETTA, GA 30004-6329
(678) 254-2333
(678) 254-2332

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA

Other

Enumeration date
01/17/2014
Last updated
05/15/2014
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