Individual
DR. VALLIKKAT T GIRIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-8925
(770) 507-4414
(770) 507-4415
Mailing address
PO BOX 2489, STOCKBRIDGE, GA 30281-8925
(770) 507-4414
(770) 507-4415
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
022932
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000614193B
—
GA
Enumeration date
11/03/2005
Last updated
08/17/2010
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