Individual
NANDOR A. KALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 TRIBBLE GAP RD, CUMMING, GA 30040-2478
(770) 887-1668
(770) 781-9937
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
(770) 887-1668
(770) 887-3462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
68040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127409D
—
GA
05
—
01087873
—
MS
Enumeration date
03/10/2006
Last updated
06/19/2019
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