Hospitalist at Fairview Park, LLC

NPI #1265671457 in Dublin, Georgia

Provider Information

NPI Number: 1265671457
Entity Type: Organization
Organization Name: Hospitalist at Fairview Park, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 11, 2009
Last Updated: Feb 11, 2009

Practice Location

Address: 200 INDUSTRIAL BLVD
City: Dublin
State: Georgia
ZIP Code: 31021-2981
Phone: (478) 274-3747

Authorized Official

Name: JOHN LAVERTY
Title: VP
Phone: (615) 507-2312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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