Individual
DR. JULIET KOTTAK MAVROMATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 EXECUTIVE PARK S, STE 390, ATLANTA, GA 30329-2288
(404) 997-6790
Mailing address
57 EXECUTIVE PARK S, STE 390, ATLANTA, GA 30329-2288
(404) 997-6790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043699
GA
Other
Enumeration date
09/25/2006
Last updated
02/07/2012
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