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NPI Verification

National Provider Identifier: 1114428612

Impact Physician Group, LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (4)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

21 EASTBROOK BND STE 218

PEACHTREE CITY, GA 302691546

Phone: 678-967-5599

NPI Enumeration Date

February 21, 2018

NPI Number

1114428612

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry