Organization
STOCKBRIDGE INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALLIKKAT T GIRIJA M.D (PRESIDENT)
(770) 507-4414
Entity
Organization
Contact information
Practice address
1500 ROCK QUARRY ROAD, STOCKBRIDGE, GA 30281-8925
(770) 507-4414
(770) 507-4415
Mailing address
1500 ROCK QUARRY ROAD, MAILING: PO BOX 2489, STOCKBRIDGE, GA 30281-8925
(770) 504-4414
(770) 507-4415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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