Organization
JAMES H DEW JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H DEW JR. MD (PHYSICIAN)
(770) 938-1705
Entity
Organization
Contact information
Practice address
2200 NORTHLAKE PARKWAY, SUITE 300A, TUCKER, GA 30084
(770) 938-1705
Mailing address
2200 NORTHLAKE PARKWAY, SUITE 300A, TUCKER, GA 30084
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000077118E
—
GA
Enumeration date
09/14/2012
Last updated
09/14/2012
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