Organization
EAGLES LANDING MULTI SPECIALITY GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'TONYA ROJAS (MANAGER)
(404) 862-4206
Entity
Organization
Contact information
Practice address
1215 EAGLES LANDING PKWY STE 201, STOCKBRIDGE, GA 30281-7280
(404) 862-4206
Mailing address
1215 EAGLES LANDING PKWY STE 201, STOCKBRIDGE, GA 30281-7280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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