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Organization

SAINT JOSEPH'S MEDICAL GROUP PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD D. REED (VICE PRESIDENT)
(678) 843-5773
Entity
Organization

Contact information

Practice address
5669 PEACHTREE DUNWOODY RD NE, SUITE 315, ATLANTA, GA 30342-1786
(678) 843-6400
(678) 843-6405
Mailing address
5669 PEACHTREE DUNWOODY RD NE, SUITE 315, ATLANTA, GA 30342-1786
(678) 843-6400
(678) 843-6405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/31/2011
Last updated
01/31/2011
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