SPECTRUM INTERNAL MEDICINE LLC NPI 1437576659

NPI Information

SPECTRUM INTERNAL MEDICINE, LLC is a primary care clinic center in Alpharetta, GA. SPECTRUM INTERNAL MEDICINE, LLC NPI is 1437576659. The provider is registered as an organization entity type.

The provider's business location address is:

401 S MAIN ST
SUITE B3
ALPHARETTA, GA
ZIP 30009-974
Phone: (678) 319-9901
Fax: (678) 319-9902

The provider's authorized official is Julius Kolawole Adebisi .
The authorized official title is Medical Director and has the following contact phone number (678) 319-9901.

The CLIA number assigned to this NPI record is 11D2012609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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