Organization
DIGICOM HEALTHCARE SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERAL JOHNSON CEO/OWNER (OWNER)
(770) 318-0476
Entity
Organization
Contact information
Practice address
3330 S COBB DR SE STE B, SMYRNA, GA 30080-4128
(678) 556-9478
Mailing address
3330 S COBB DR SE STE B, SMYRNA, GA 30080-4128
(770) 318-0476
(678) 298-4503
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
33177
GA
261QM1300X
Multi-Specialty Clinic/Center
Primary
33177
GA
Other
Enumeration date
12/03/2017
Last updated
06/20/2018
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