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Organization

BETHEL GROUP OF GEORGIA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JORGE JUAN BACALLAO (DIRECTOR)
(404) 735-9844
Entity
Organization

Contact information

Practice address
2870 PEACHTREE RD NW, SUITE 919, ATLANTA, GA 30305-2918
(404) 735-9844
(404) 355-4669
Mailing address
2870 PEACHTREE RD NW, SUITE 919, ATLANTA, GA 30305-2918
(404) 735-9844
(404) 355-4669

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
139625LGB
GA

Other

Enumeration date
04/01/2007
Last updated
08/22/2020
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