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Individual

DR. MYRIAM C VELA-ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
157 CLINIC AVE STE 203, CARROLLTON, GA 30117
(770) 832-0429
(770) 838-9108
Mailing address
157 CLINIC AVE STE 203, CARROLLTON, GA 30117-4454
(770) 832-0429
(770) 838-9108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT203196
PA
207RN0300X
Nephrology Physician
Primary
080127
GA

Other

Enumeration date
03/12/2013
Last updated
06/12/2020
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