MEDICARE: FINE & ASSOCIATES INTERNAL MEDICINE SPECIALISTS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	039791	GA

General Provider Information

NPI Number	:	1144490756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINE & ASSOCIATES INTERNAL MEDICINE SPECIALISTS, P.C.

Provider Business Mailing Address
First Line	:	1561 JANMAR RD STE E
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-5693
Country	:	US
Telephone Number	:	770-736-8962
Fax Number	:	770-736-8970

Provider Business Practice Location Address
First Line	:	1561 JANMAR RD STE E
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-5693
Country	:	US
Telephone Number	:	770-736-8962
Fax Number	:	770-736-8970

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOEL LAWRENCE FINE
Credential	:	M.D.
Telephone Number	:	770-736-8962

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	04/14/2008

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