Individual
MRS. AMISHREE VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 INTERLOCHEN DR NE, ATLANTA, GA 30342
(347) 866-0719
Mailing address
159 INTERLOCHEN DR NE, ATLANTA, GA 30342-3711
(347) 866-0719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0009252
CT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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