Individual
DR. JUDY H. SEQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
488 KENNESAW AVE NW, SUITE 200, MARIETTA, GA 30060-9409
(404) 885-7701
(404) 885-7777
Mailing address
550 PEACHTREE ST NE, SUITE 1620, ATLANTA, GA 30308-2247
(404) 885-7701
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042118
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000866929F
—
GA
01
—
22BDDBV
MEDICARE
GA
Enumeration date
05/10/2006
Last updated
07/15/2009
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