Organization
GREGORY L. ERDELYAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PIA MAGDALENE BERKS (BILLER)
(770) 378-2449
Entity
Organization
Contact information
Practice address
1104 HOSPITAL DR, STOCKBRIDGE, GA 30281-6381
(678) 289-2003
(678) 289-0191
Mailing address
1104 HOSPITAL DR, STOCKBRIDGE, GA 30281-6381
(678) 289-2003
(678) 289-0191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35864
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35864
GA
Other
Enumeration date
04/07/2007
Last updated
09/10/2012
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