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Organization

WALTON PULMONARY & SLEEP MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHEL JEANNOT MD (OWNER)
(678) 928-9700
Entity
Organization

Contact information

Practice address
101 TARA COMMONS DR, LOGANVILLE, GA 30052-8018
(678) 928-9700
(770) 466-1585
Mailing address
101 TARA COMMONS DR, LOGANVILLE, GA 30052-8018
(678) 928-9700
(770) 466-1585

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
065686
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
065686
GA

Other

Enumeration date
03/09/2011
Last updated
06/10/2014
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