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Individual

PRIYA C PALLIYIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1240 UPPER HEMBREE RD, STE D, ROSWELL, GA 30076-0914
(770) 667-0810
(678) 288-7942
Mailing address
1240 UPPER HEMBREE RD, STE D, ROSWELL, GA 30076-0914
(770) 667-0810
(678) 288-7942

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053869
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
385314069A
GA
Enumeration date
10/04/2005
Last updated
03/29/2011
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