The Southeast Permanente Medical Group in Atlanta - Surgery
The Southeast Permanente Medical Group - NPI 1245266956
The Southeast Permanente Medical Group is a Surgery in Atlanta, Georgia. The Southeast Permanente Medical Group practices all healthcare services and medical treatments related to Surgery. The NPI Number for The Southeast Permanente Medical Group is 1245266956. The last update date is 2017-07-18.
The Southeast Permanente Medical Group's current location address is 3495 Piedmont Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4043643821. The mailing address for The Southeast Permanente Medical Group is 3495 Piedmont Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Southeast Permanente Medical Group |
|---|---|
| Address | 3495 Piedmont Rd Ne, Atlanta, Georgia |
| Phone Number | 4043643821 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Doherty Michael |
| Telephone Number | 4043642245 |
NPI Number Detail
| NPI Number | 1245266956 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2017-07-18 |
Provider Mailing Address Detail
| Address | 3495 Piedmont Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303051773 |
| Phone Number | 4043643821 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the The Southeast Permanente Medical Group's 1245266956?
The The Southeast Permanente Medical Group's NPI (National Provider Identifier) Number is 1245266956. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the The Southeast Permanente Medical Group located?
The The Southeast Permanente Medical Group is located at 3495 Piedmont Rd Ne, Atlanta, GA 303051773.
Could you please provide the complete physical location address of The Southeast Permanente Medical Group?
The The Southeast Permanente Medical Group is physically situated at 3495 Piedmont Rd Ne, in the city of Atlanta, state of GA, with the postal code 303051773.
On what date did the Centers for Medicare & Medicaid Services issue the 1245266956 to The Southeast Permanente Medical Group?
The The Southeast Permanente Medical Group received its 1245266956 assignment from the Centers for Medicare & Medicaid Services on 2006-06-24.
When was the information pertaining to The Southeast Permanente Medical Group most recently updated or revised?
The details related to The Southeast Permanente Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2017-07-18.