Individual
LILA N GHAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342
(770) 938-0772
Mailing address
PO BOX 422002, ATLANTA, GA 30342-9002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80125
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
07/06/2018
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