Organization
EAMON DUTTA, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R WARNER (BILLING)
(770) 458-1594
Entity
Organization
Contact information
Practice address
2150 PEACHFORD RD, SUITE A, ATLANTA, GA 30338-6520
(770) 344-9818
(770) 458-1596
Mailing address
2150 PEACHFORD RD, SUITE A, ATLANTA, GA 30338-6520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
046593
GA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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