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Organization

THE MEDICAL GROUP OF SAINT JOSEPH'S, LLC

Active
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Organization

THE MEDICAL GROUP OF SAINT JOSEPH'S, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD D. REED (DIRECTOR)
(404) 250-6409
Entity
Organization

Contact information

Practice address
5669 PEACHTREE DUNWOODY RD. NE, SUITE 315, ATLANTA, GA 30342-1736
(404) 250-6400
(404) 250-6405
Mailing address
5669 PEACHTREE DUNWOODY RD. NE, SUITE 315, ATLANTA, GA 30342-1736
(404) 250-6400
(404) 250-6405

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
034834
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135306594A
GA
Enumeration date
09/24/2007
Last updated
10/27/2009
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