Individual
JAI PARKASH LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83041
GA
207R00000X
Internal Medicine Physician
LP03817
RI
208M00000X
Hospitalist Physician
83041
GA
Other
Enumeration date
07/02/2016
Last updated
07/12/2021
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