ST. JUDE'S INTERNAL MEDICINE, LLC is a specialist in Woodstock, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ST. JUDE'S INTERNAL MEDICINE, LLC NPI is 1477863579. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1198 BUCKHEAD XING
STE C
WOODSTOCK, GA
ZIP 30189-257
Phone: (678) 324-7406
Fax: (770) 627-4322
The provider's authorized official is Osborne F D'souza .
The authorized official title is Provider and has the following contact phone number (678) 324-7406.
The CLIA number assigned to this NPI record is 11D2010335 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/7/2010 and was last updated on 5/8/2014.