| Jambah Group, Llc | |
|
2356 Lenora Church Rd Snellville GA 30078-3233 | |
| (770) 972-0340 | |
| (770) 972-4591 |
| Full Name | Jambah Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2356 Lenora Church Rd, Snellville, Georgia |
| Authorized Official Name and Position | Roland J Pinder (CFO) |
| Authorized Official Contact | 7709720340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jambah Group, Llc 2356 Lenora Church Rd Snellville GA 30078-3233 Ph: (770) 972-0340 | Jambah Group, Llc 2356 Lenora Church Rd Snellville GA 30078-3233 Ph: (770) 972-0340 |
| NPI Number | 1376849802 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376849802 | NPI | - | NPPES |
| 063059 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 063059 (Georgia) | Primary |
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