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Organization
PEDIATRICS & GENETICS, LLC
Active
Organization
PEDIATRICS & GENETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA KRISHNAMURTHY M.D. (OWNER/PHYSICIAN)
(770) 331-1660
Entity
Organization
Contact information
Practice address
3586 OLD MILTON PKWY, ALPHARETTA, GA 30005-4465
(770) 346-0132
(770) 346-0165
Mailing address
3180 N POINT PKWY, SUITE 202, ALPHARETTA, GA 30005-4248
(770) 346-0132
(770) 346-0165
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
05728
GA
208000000X
Pediatrics Physician
Primary
057528
GA
Other
Enumeration date
08/09/2007
Last updated
05/23/2016
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