Organization
MEDICI MEDICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONNY S DOSANJH M.D. (CHIEF MEDICAL OFFICER)
(844) 328-4624
Entity
Organization
Contact information
Practice address
2911 GEORGE BUSBEE PKWY NW, SUITE 50, KENNESAW, GA 30144-6908
(844) 328-4624
(770) 882-2576
Mailing address
2911 GEORGE BUSBEE PKWY NW, SUITE 50, KENNESAW, GA 30144-6908
(844) 328-4624
(770) 882-2576
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
66686
GA
208VP0014X
Interventional Pain Medicine Physician
349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161420A
—
GA
01
—
1366842494
GROUP NPI
GA
Enumeration date
08/26/2014
Last updated
09/28/2015
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