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Contact Information

IN AE MEDICAL CENTER PC
2830 CLEARVIEW PL
100
DORAVILLE, GA30340-2134
 Phone: 678-205-2670
 Fax: 678-205-2671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for IN AE MEDICAL CENTER PC · (Female)

NPI # 1275733966
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2007
Last updated 07/20/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 054651
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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