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Organization

NEW HORIZONS INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RALPH A JACKSON MD (MBR)
(770) 418-1668
Entity
Organization

Contact information

Practice address
771 OLD NORCROSS RD STE 110, LAWRENCEVILLE, GA 30045-4317
(770) 963-5775
(770) 476-4533
Mailing address
771 OLD NORCROSS RD STE 110, LAWRENCEVILLE, GA 30045-4317
(770) 418-1668
(770) 476-4533

Taxonomy

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

Other

Enumeration date
08/18/2008
Last updated
02/24/2011
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