Provider Demographics
NPI:1568530475
Name:JULIEN, ORIETA A (MD)
Entity Type:Individual
Prefix:
First Name:ORIETA
Middle Name:A
Last Name:JULIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ORIETA
Other - Middle Name:A
Other - Last Name:FOSTER PAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:
Practice Address - Street 1:2525 CUMBERLAND PARKWAY
Practice Address - Street 2:INTERNAL MEDICINE HEALTH CARE TEAM A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:770-431-4305
Practice Address - Fax:770-431-4338
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11BDVQTMedicare ID - Type Unspecified
H61550Medicare UPIN