Organization
SAMUEL DEUTSCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DEUTSCH MD (OWNER)
(770) 682-8442
Entity
Organization
Contact information
Practice address
316 W PIKE ST STE 100, LAWRENCEVILLE, GA 30045-4878
(770) 682-8442
(770) 682-8200
Mailing address
316 W PIKE ST STE 100, LAWRENCEVILLE, GA 30045-4878
(770) 682-8442
(770) 682-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000554144A
—
GA
Enumeration date
06/24/2008
Last updated
06/24/2008
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