24 On Physicians, P.C.
Organization Active NPI Internal Medicine Physician · Riverdale, GA
NPI 1366779274 · NPPES record last updated Nov 13, 2009
Key facts
- NPI
- 1366779274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- 24 ON PHYSICIANS, P.C.
- Practice address
- 11 Upper Riverdale Rd
Riverdale, GA 30274-2600 - Phone
- (770) 897-7107
- Fax
- (770) 897-7109
- NPI assigned
- Nov 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Dan A. Fuller
- Title
- VP/Secretary
- Phone
- (770) 740-0895
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- 24 On Physicians PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
11 Upper Riverdale Rd
Riverdale, GA 30274-2600
Mailing address
PO Box 403631
Atlanta, GA 30384-3631
Phone (770) 740-0895
Other providers in Riverdale, GA
- A Affordable Dui School LLC
- A to Z Surgical 1St Assisting
- Aalok Chandora MD LLC
- Ugochi Chizuorom Abazie
- Mohamed Eyad Abdelall
All providers in Riverdale, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.