OrganizationActive
24 on Physicians, P.C.
NPI 1366779274 · Internal Medicine Physician · Riverdale, GA
Provider details
- NPI number
- 1366779274
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Fuller, Vp/Secretary(770) 740-0895
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11 Upper Riverdale Rd
Riverdale, GA 30274-2600
Phone: (770) 897-7107
Fax: (770) 897-7109
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 403631
Atlanta, GA 30384-3631
Registry dates
- Enumerated
- 2009-11-13
- Last updated
- 2009-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.