Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

24 on Physicians, PC

Organization Internal Medicine Physician · NPI 1366779274

24 on Physicians, PC is an Internal Medicine Physician in Riverdale, Georgia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Uppr Riverdale RD
Riverdale, GA 30274-2600
Phone: (770) 897-7107
Fax: (770) 897-7109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1366779274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Fuller — Vp/Secretary · (770) 740-0895
NPI enumeratedNovember 13, 2009
Last updated in NPPESNovember 13, 2009
Mailing addressPo Box 403631, Atlanta, GA 30384-3631

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