Organization
24ON PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A. FULLER (VP/SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(770) 740-0895
(770) 740-0896
Mailing address
318 MAXWELL RD, ALPHARETTA, GA 30009-2063
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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