Provider Demographics
NPI:1831237106
Name:PAUL, JAMES E (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3865 RANDALL MILL RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2715
Mailing Address - Country:US
Mailing Address - Phone:404-233-5556
Mailing Address - Fax:
Practice Address - Street 1:531 ROSELANE ST NW
Practice Address - Street 2:SUITE 750
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-6913
Practice Address - Country:US
Practice Address - Phone:770-794-0477
Practice Address - Fax:770-794-3108
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA028554207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD40835Medicare UPIN
GA05BD0FQFMedicare PIN