Individual
DR. ROMUALDA S KLICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100, WOODSTOCK, GA 30189-5540
(770) 517-1900
(770) 926-3215
Mailing address
2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100, WOODSTOCK, GA 30189-5540
(770) 517-1900
(770) 926-3215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046305
GA
Other
Enumeration date
10/20/2005
Last updated
12/12/2011
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