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PROVIDENT HEALTHCARE LLC

Geriatric Medicine (Internal Medicine) Physician

NPI: 1154706075Organization

Specialties, Licenses & Credentials

Internal Medicine

Code: 207R00000X

07088(GA)

Internal Medicine — Hospice and Palliative Medicine

Code: 207RH0002X

07088(GA)

Internal Medicine — Geriatric Medicine

Code: 207RG0300X

07088(GA)

Contact & Hours

Address
3505 LASSITER FALLS DR NE
MARIETTA, GA 30062

Quick Facts

NPI
1154706075
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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