Individual
PAOLA JULIANA SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
220 OAKSIDE LN, CANTON, GA 30114-6413
(678) 807-1050
(678) 807-1055
Mailing address
260 ELM ST, CUMMING, GA 30040-2467
(770) 887-1668
(770) 887-3462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19949
MS
208000000X
Pediatrics Physician
Primary
67096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313120097
—
GA
05
—
300022400A
—
GA
01
—
C02394
MEDICARE GROUP
MS
Enumeration date
12/10/2007
Last updated
07/01/2014
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