Organization
HOUSTON HOSPITALIST GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5468
Entity
Organization
Contact information
Practice address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
(478) 922-4281
Mailing address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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