Individual
SARANYA SELVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
079543
GA
207R00000X
Internal Medicine Physician
4301109784
MI
208M00000X
Hospitalist Physician
Primary
79543
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2012
Last updated
01/06/2020
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