Individual
GEORGINA HALVAS KALAITZIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER BLVD, SUITE 165, LAWRENCEVILLE, GA 30045-3301
(678) 442-2025
(678) 442-2031
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56186
GA
Other
Enumeration date
04/23/2007
Last updated
12/02/2020
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