Organization
NETPHYSICIAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANN BRUBAKER (VP OWNER)
(678) 957-0156
Entity
Organization
Contact information
Practice address
3039 AMWILER RD, SUITE 118, ATLANTA, GA 30360-2824
(770) 326-6143
Mailing address
5700 LAKE MANOR TRCE, ALPHARETTA, GA 30022-2613
(678) 957-0156
(678) 935-3994
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
GA038561
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073739249
FRANK PETER MATALONE, DO
GA
01
—
1699895961
PROVIDENCE CLINICAL #
GA
Enumeration date
06/15/2007
Last updated
08/22/2020
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