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Contact Information

PETER R JUNGBLUT, MD
3747 ROSWELL RD STE 216
MARIETTA, GA30062
 Phone: 770-973-2272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PETER R JUNGBLUT · (Male)

NPI # 1104104686
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2011
Last updated 10/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 069056
Hospital affiliation(s)
  • WELLSTAR COBB HOSPITAL - (Acute Care)
    3950 AUSTELL RD
    AUSTELL, GA 30106
  • WELLSTAR KENNESTONE HOSPITAL - (Acute Care)
    677 CHURCH STREET
    MARIETTA, GA 30060
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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