Doctor Name: | DR. PRADEEP C JOLLY |
NPI Number: | 1023096823 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 022798 |
Business Practice Address: | 1100 Johnson Ferry Rd Ne Suite 600 Sandy Springs, GA - 303421709 |
Business Phone Number: | 4042564777 |
Business Fax Number: | 4042565515 |
Mailing Address: | 1835 Savoy Dr, Suite 300 ATLANTA |
State: | GA |
Postal Code: | 303411072 |
Phone Number: | 6782889555 |
Fax Number: | 6782889556 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 022798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |