Organization
JJP INTERNAL MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN PHILIPPE MD (CEO)
(404) 250-1204
Entity
Organization
Contact information
Practice address
5825 GLENRIDGE DR NE, BLDG 2 SUITE 120, ATLANTA, GA 30328-5387
(404) 250-1204
(404) 250-1205
Mailing address
5825 GLENRIDGE DR NE, BLDG 2 SUITE 120, ATLANTA, GA 30328-5387
(404) 250-1204
(404) 250-1205
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
044056
GA
207R00000X
Internal Medicine Physician
Primary
044056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000884045E
—
GA
Enumeration date
05/15/2013
Last updated
05/15/2013
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