Caedel Medical Group

NPI #1710922075 in Riverdale, Georgia

Provider Information

NPI Number: 1710922075
Entity Type: Organization
Organization Name: Caedel Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Jun 19, 2006
Last Updated: Aug 2, 2011

Practice Location

Address: 1324 HIGHWAY 138 SW
City: Riverdale
State: Georgia
ZIP Code: 30296-1404
Phone: (770) 907-4949

Authorized Official

Name: CLAIRE K WILLIE, MD
Title: PHYSICIAN/OWNER
Phone: (770) 907-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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