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Individual

JAMES MICHAEL DITOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1275 SHILOH RD NW STE 2120, KENNESAW, GA 30144-7199
(631) 671-1194
Mailing address
1902 GRENACHE LN NW, KENNESAW, GA 30152-6771

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46394
GA

Other

Enumeration date
04/22/2014
Last updated
05/16/2023
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