Individual
DR. ANGEL MENDOZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COUNTY SERVICES PKWY, MARIETTA, GA 30008-4010
(770) 514-2361
(770) 514-2811
Mailing address
3930 SOUTH COBB DR., SUITE 200, SMYRNA, GA 30080
(770) 438-5106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40485
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672174A
—
GA
Enumeration date
06/10/2005
Last updated
07/08/2007
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