Organization
SOUTH ATLANTA PULMONARY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL L REYES (BUSINESS OFFICE MANAGER)
(404) 466-6242
Entity
Organization
Contact information
Practice address
1136 CLEVELAND AVE, SUITE 519, EAST POINT, GA 30344-3618
(404) 761-3525
(404) 766-3696
Mailing address
1136 CLEVELAND AVE, SUITE 519, EAST POINT, GA 30344-3618
(404) 761-3525
(404) 766-3696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020396
GA
207R00000X
Internal Medicine Physician
028704
GA
207RP1001X
Pulmonary Disease Physician
Primary
020396
GA
207RP1001X
Pulmonary Disease Physician
028704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000179286C
—
GA
05
—
000330206B
—
GA
Enumeration date
03/14/2007
Last updated
12/23/2009
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