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Individual

DANTE C ADAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 TOWNPARK LN NW, TOWNPARK MEDICAL CENTER DEPT OF PEDIATRICS, KENNESAW, GA 30144-5579
(770) 514-5401
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 949-5019
(404) 364-4985

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
056952
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
947532165A
GA
Enumeration date
03/14/2006
Last updated
01/13/2022
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