Organization
JOSEPH S. PALIN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVY ANDERSON (OFFICE MANAGER)
(770) 836-1011
Entity
Organization
Contact information
Practice address
705 DALLAS HWY, VILLA RICA, GA 30180-1247
(770) 459-4411
(770) 459-2424
Mailing address
PO BOX 1468, CARROLLTON, GA 30112-0028
(770) 836-1011
(770) 836-1049
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
025006
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568442952
NPI PHYSICIAN NUMBER
GA
Enumeration date
03/02/2007
Last updated
08/22/2020
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