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Individual

DR. NANDITA MAINTHIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1810 MULKEY RD, SUITE 102, AUSTELL, GA 30106
(770) 944-8660
(770) 944-8661
Mailing address
1810 MULKEY RD, SUITE 102, AUSTELL, GA 30106
(770) 944-8660
(770) 944-8661

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34018
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00468894B
GA
Enumeration date
03/09/2006
Last updated
08/20/2010
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