Organization
24 ON PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A FULLER (SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
7500 HOSPITAL DR, DUBLIN, OH 43016-8518
(614) 544-8283
(614) 544-8078
Mailing address
PO BOX 403631, ATLANTA, GA 30384-3631
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2806137
—
OH
Enumeration date
04/22/2008
Last updated
04/22/2008
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