Organization
COMPREHENSIVE INTERNAL MEDICINE AT NORTHSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE T PEARSON MD, MS (MD OWNER)
(678) 205-9004
Entity
Organization
Contact information
Practice address
960 JOHNSON FERRY RD NE, SUITE 543, ATLANTA, GA 30342-1631
(678) 205-9004
Mailing address
11975 MORRIS RD, SUITE 140, ALPHARETTA, GA 30005-4419
(678) 205-9004
(678) 205-9005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
05/03/2013
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