Organization
NORTH FULTON INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARITY Q BOULTON (PRACTICE ADMINISTRATOR)
(770) 442-1111
Entity
Organization
Contact information
Practice address
2500 HOSPITAL BLVD, SUITE 250, ROSWELL, GA 30076-4907
(770) 442-1111
(770) 740-2990
Mailing address
2500 HOSPITAL BLVD, SUITE 250, ROSWELL, GA 30076-4907
(770) 442-1111
(770) 740-2990
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
08/22/2020
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