Provider Demographics
NPI:1427578822
Name:PAL, TRINA (MD, MPH)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:PAL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1107 MEMORIAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8662
Mailing Address - Country:US
Mailing Address - Phone:706-529-3072
Mailing Address - Fax:706-529-3077
Practice Address - Street 1:1107 MEMORIAL DR STE 100
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8662
Practice Address - Country:US
Practice Address - Phone:706-529-3072
Practice Address - Fax:706-529-3077
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101280756207R00000X, 207RR0500X
CT71921207R00000X
CT071921207RR0500X
GA101779207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine