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Individual

ANDREA PELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 PEACHTREE ST, ATLANTA, GA 30365
(404) 778-4852
Mailing address
2899 ANDREWS DR NW, ATLANTA, GA 30305-2903

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
034437
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00055237A
GA
Enumeration date
01/10/2007
Last updated
07/08/2007
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