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Individual

DR. BETSY CHERIAN JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2007 MONTREAL RD, TUCKER, GA 30084
(770) 491-1285
(770) 491-3164
Mailing address
2007 MONTREAL RD, TUCKER, GA 30084
(770) 491-1285
(770) 491-3164

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
055377
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889893685A
GA
Enumeration date
09/16/2006
Last updated
06/29/2009
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