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Organization

MARILYN DIGAMON BELTRAN

Active
Other names
Northeast Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARILYN DIGAMON BELTRAN MD (PRESIDENT CEO)
(770) 267-9484
Entity
Organization

Contact information

Practice address
333 ALCOVY ST, STE 8, MONROE, GA 30655-2180
(770) 267-9484
(770) 267-1600
Mailing address
333 ALCOVY ST, STE 8, MONROE, GA 30655-2180
(770) 267-9484
(770) 267-1600

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
027031
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265500862
NPI
GA
01
1437131596
NPI
GA
01
1639254881
NPI
GA
Enumeration date
03/13/2007
Last updated
08/22/2020
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