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DR. JUAN CAMILO PINEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
3300 VAWTER SCHOOL RD, COLUMBIA, MO 65203-8609
(573) 808-1649

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90979
GA
208000000X
Pediatrics Physician
2022003459
MO
208000000X
Pediatrics Physician
90979
GA
208M00000X
Hospitalist Physician
90979
GA

Other

Enumeration date
07/28/2017
Last updated
07/20/2022
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