Providence Medical Group, PC
Providence Medical Group, PC is an Internal Medicine Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
550 Peachtree St NE Ste 1285Atlanta, GA 30308-2249
Phone: (404) 856-3213
Fax: (404) 856-3217
Show map & directions
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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 · Licence 051703 (GA) |
|---|
Record details
| NPI number | 1063570604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Oladayo Osinuga — President · (404) 684-7111 |
| NPI enumerated | December 5, 2006 |
| Last updated in NPPES | June 19, 2012 |
| Mailing address | Po Box 4047, Macon, GA 31208-4047 |
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