Individual
MARIO CHRISTOPHER SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1440
(404) 778-1415
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1440
(404) 778-1401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
100062
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/23/2021
Last updated
05/22/2024
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