Individual
MRS. INGRID ISRAELL DESIR-JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236
(770) 603-3606
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056279
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
722172069B
—
GA
01
—
P00401479
RAILROAD MEDICARE
GA
Enumeration date
09/02/2006
Last updated
02/09/2022
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