Jolly, Pradeep C
Jolly, Pradeep C is an individual health care provider with primary practice located at 1100 Johnson Fy Rd Ne Ste 600 , Atlanta GA 30342-1739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Jolly, Pradeep C can be contacted via phone (404) 256-4777.Contact Information
Primary practice address
1100 Johnson Fy Rd Ne Ste 600
Atlanta GA 30342-1739
Phone: (404) 256-4777
Fax: (404) 256-5515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 022798 | Georgia |
Profile Details
| NPI number | 1023096823 |
|---|---|
| LBN Legal business name | Jolly, Pradeep C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Apr 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023096823 | NPPES |
| Georgia | MEDICAID | 000294115AA | |
| Georgia | MEDICAID | 000294115AB |
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