Individual
DR. EFFIE S DOLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4485 TENCH RD, STE 630, SUWANEE, GA 30024-6740
(770) 904-5252
Mailing address
4485 TENCH RD, STE 630, SUWANEE, GA 30024-6740
(770) 904-5252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000746281E
—
GA
05
—
309852302A
—
GA
Enumeration date
11/03/2005
Last updated
01/25/2012
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