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Contact Information

C J MEDICAL CENTER, PROFESSIONAL CORPORATION
3540 DULUTH PARK LN
SUITE # 250
DULUTH, GA30096-6674
 Phone: 770-232-9525
 Fax: 770-232-9106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for C J MEDICAL CENTER PROFESSIONAL CORPORATION · (Female)

NPI # 1922016187
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 029794
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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