Organization
INTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENETA H SELLS M.D. (PRESIDENT)
(404) 446-4726
Entity
Organization
Contact information
Practice address
490 BILL KENNEDY WAY SE, SUITE 101, ATLANTA, GA 30316-6835
(404) 446-4726
(404) 446-4727
Mailing address
490 BILL KENNEDY WAY SE, SUITE 101, ATLANTA, GA 30316-6835
(404) 446-4726
(404) 446-4727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
058200
GA
Other
Enumeration date
07/27/2006
Last updated
11/22/2011
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