Organization
CHILDREN'S MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY-ANN MICHELA SALANDY M.D. (OWNER/ PEDIATRICIAN)
(770) 941-5107
Entity
Organization
Contact information
Practice address
1680 MULKEY RD, SUITE E, AUSTELL, GA 30106-1118
(770) 941-5107
(770) 944-1013
Mailing address
1680 MULKEY RD, SUITE E, AUSTELL, GA 30106-1118
(770) 941-5107
(770) 944-1013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057184
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440133094D
—
GA
Enumeration date
10/10/2011
Last updated
10/10/2011
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