Organization
INTERNAL MEDICINE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON ALLISON (OFFICE MANAGER)
(678) 495-2100
Entity
Organization
Contact information
Practice address
2179 NORTHLAKE PKWY, BLGD 5 SUITE 101, TUCKER, GA 30084-4119
(678) 495-2100
(678) 495-2104
Mailing address
2179 NORTHLAKE PKWY, BLDGE 5 SUITE 101, TUCKER, GA 30084-4119
(678) 495-2100
(678) 495-2104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
046509
GA
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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