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Organization
MOUNTAIN VIEWS PEDIATRICS
Active
Organization
MOUNTAIN VIEWS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE VARGHESE D.O. (PRESIDENT)
(404) 508-1208
Entity
Organization
Contact information
Practice address
2754 N DECATUR RD STE 112, DECATUR, GA 30033-5917
(404) 508-1208
Mailing address
2754 N DECATUR RD STE 112, DECATUR, GA 30033-5917
(404) 508-1208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00542066H
—
GA
Enumeration date
06/20/2008
Last updated
06/20/2008
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