Philippe-Dambreville, Jean Joseph

Philippe-Dambreville, Jean Joseph is an individual health care provider with primary practice located at 2310 Parklake Dr Ne Ste 144 , Atlanta GA 30345-2913. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Philippe-Dambreville, Jean Joseph can be contacted via phone (770) 696-5252.

Contact Information

Primary practice address
2310 Parklake Dr Ne Ste 144 Atlanta GA 30345-2913
Fax: (470) 545-2909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 044056GA Georgia
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 044056 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 044056 Georgia

Profile Details

NPI number 1639177066
LBN Legal business name Philippe-Dambreville, Jean Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 9th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639177066 NPPES
Georgia MEDICAID 000884045E

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