Organization
MED GLOBE, P.C.
Active
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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