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NPI Code Detail

MEDICARE: 24 ON PHYSICIANS, P.C.

MEDICARE: 24 ON PHYSICIANS, 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
1208M00000XHospitalist Physician

General Provider Information

NPI Number : 1932158797
Entity Type Code : Organization
Provider Name (Legal Business Name) : 24 ON PHYSICIANS, P.C.
Provider Business Mailing Address
First Line : P.O. BOX 403631
Second Line :
City : ATLANTA
State : GA
Zip : 30384-3631
Country : US
Telephone Number : 770-740-0895
Fax Number :
Provider Business Practice Location Address
First Line : 4321 CAROTHERS PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-5909
Country : US
Telephone Number : 615-435-6690
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : DAN A. FULLER
Credential :
Telephone Number : 770-740-0895
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/05/2011

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