Organization
GERIATRIC MEDICINE OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUNIR DARRADJI MD (PRESIDENT)
(770) 888-2524
Entity
Organization
Contact information
Practice address
1019 WINDING RIDGE CT, ATLANTA, GA 30338-3949
(770) 888-2524
(770) 888-2510
Mailing address
PO BOX 3253, ALPHARETTA, GA 30023-3253
(770) 888-2524
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
48998
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110228627
MEDICARE RAILROAD
GA
Enumeration date
11/20/2007
Last updated
07/02/2008
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