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Individual

JAVAD DEGANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 TREE LANE RD, STE 110, SNELLVILLE, GA 30078
(770) 972-0860
(770) 972-0850
Mailing address
1700 TREE LANE RD, STE 110, SNELLVILLE, GA 30078
(770) 972-0860
(770) 972-0850

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016053
GA

Other

Enumeration date
05/09/2006
Last updated
08/11/2011
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