Organization
HOSPITALIST AT FAIRVIEW PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LAVERTY (VP)
(615) 507-2312
Entity
Organization
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 274-3747
(478) 274-3663
Mailing address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 274-3747
(478) 274-3663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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