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Individual

PRITI PANDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4441 ATLANTA RD SE STE 204, SMYRNA, GA 30080
(678) 741-5000
(770) 739-2318
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
054081
GA
207RG0100X
Gastroenterology Physician
Primary
054081
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054788195A
GA
Enumeration date
02/08/2006
Last updated
05/31/2018
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