Organization
IMPACT PHYSICIAN GROUP NORTH CAROLINA LLC
Active
Organization
IMPACT PHYSICIAN GROUP NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MILLER (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
(844) 440-2328
Mailing address
PO BOX 744577, ATLANTA, GA 30374-4577
(678) 967-5599
(844) 440-2328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/09/2026
Last updated
06/10/2026
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