Healthcare Provider Details
I. General information
NPI: 1447372685
Provider Name (Legal Business Name): OZLEM PALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6330 PRIMROSE HILL CT
PEACHTREE CORNERS GA
30092-4544
US
IV. Provider business mailing address
6330 PRIMROSE HILL CT
PEACHTREE CORNERS GA
30092-4544
US
V. Phone/Fax
- Phone: 770-903-0144
- Fax: 770-903-0145
- Phone: 770-903-0144
- Fax: 770-903-0145
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 104123 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: