Organization
MED GLOBE, P.C.
Active
Other names
MED GLOBE, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA ELIZABETH PRATT (OFFICE MANAGER)
(770) 933-9333
Entity
Organization
Contact information
Practice address
1686 ROSWELL RD, MARIETTA, GA 30062-3621
(770) 933-9333
(770) 579-9331
Mailing address
1686 ROSWELL RD, MARIETTA, GA 30062-3621
(770) 933-9333
(770) 579-9331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821675A
—
GA
Enumeration date
12/15/2006
Last updated
12/18/2009
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