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Organization

SLIIIP MEDICAL GROUP P A

Active
Other names
SLIIIP
Organization subpart
No

Provider details

NPI number
Authorized official
AVINESH SINGH BHAR JASWINDAR SINGH MD (OWNER/AUTHORIZED OFFICIAL)
(478) 238-3552
Entity
Organization

Contact information

Practice address
212 GA HIGHWAY 49 N STE 1900, BYRON, GA 31008-4059
(478) 238-3552
(478) 259-6170
Mailing address
212 GA HIGHWAY 49 N STE 1900, BYRON, GA 31008-4059
(478) 238-3552
(478) 259-6170

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
03/04/2019
Last updated
03/03/2025
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