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Individual

DR. CELIA C MAMBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5700 HILLANDALE DR, SUITE 250, LITHONIA, GA 30058-4103
(770) 981-5431
(770) 981-5515
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 981-5431
(770) 981-5515

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
039629
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000639878AC
GA
Enumeration date
01/04/2006
Last updated
08/17/2020
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