Individual
DR. CESAR AUGUSTO TABORDA VIDARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-1020
(407) 727-5658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80581
GA
207RG0100X
Gastroenterology Physician
Primary
80581
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
04/26/2022
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