Organization
DENISE C. DE VERANEZ, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE CHERYL DE VERANEZ M.D. (PRESIDENT)
(770) 507-1414
Entity
Organization
Contact information
Practice address
175 COUNTRY CLUB DR, BLDG. 100, STE. C, STOCKBRIDGE, GA 30281-9054
(770) 507-1414
(770) 507-5150
Mailing address
110 LANG DR, FAYETTEVILLE, GA 30214-3894
(770) 507-1414
(770) 507-5150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041279
GA
Other
Enumeration date
04/04/2010
Last updated
04/04/2010
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