Provider Demographics
NPI:1194930222
Name:ISOM, JOEL TERRANCE (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:TERRANCE
Last Name:ISOM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8750 NW 36TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2425
Mailing Address - Country:US
Mailing Address - Phone:786-641-5348
Mailing Address - Fax:305-615-1121
Practice Address - Street 1:285 BOULEVARD NE
Practice Address - Street 2:SUITE 435-436
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4205
Practice Address - Country:US
Practice Address - Phone:404-222-9914
Practice Address - Fax:404-524-5902
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2017-01-16
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Provider Licenses
StateLicense IDTaxonomies
GA68926207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine