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Organization

CIMA PEDIATRICS CV, LLC

Active
Other names
CIMA Kids
Organization subpart
No

Provider details

NPI number
Authorized official
MARCELA QUINTERO (BUSINESS MANAGER)
(404) 250-4447
Entity
Organization

Contact information

Practice address
1841 CHAMBLEE TUCKER RD, SUITE 1-7B, CHAMBLEE, GA 30341-2754
(678) 894-4147
(678) 722-8329
Mailing address
1841 CHAMBLEE TUCKER RD, SUITE 1-7B, CHAMBLEE, GA 30341-2754
(678) 894-4147
(678) 215-2047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
GA
363LP0200X
Pediatric Nurse Practitioner
GA

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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