Lost Mountain Internal Medicine, LLC

NPI #1578736286 in Powder Springs, Georgia

Provider Information

NPI Number
1578736286
Entity Type
Organization
Organization Name
Lost Mountain Internal Medicine, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Apr 3, 2008
Last Updated
Apr 3, 2008

Practice Location

Address
5041 DALLAS HWY
Address 2
BLDG 1, SUITE H
State
Georgia
ZIP Code
30127-6458
Phone
(770) 874-0692

Authorized Official

Name
DR. ALACIA TARPLEY, M.D.
Title
MEMBER
Phone
(770) 874-0692

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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