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Individual

DR. FREDLY EMANUEL BATAILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
490 BILL KENNEDY WAY SE, SUITE 101, ATLANTA, GA 30316-6835
(404) 446-4726
(404) 446-4727
Mailing address
3133 SILVER HILL TER SE, ATLANTA, GA 30316-6710
(404) 242-2751

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2579
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003106235A
GA
Enumeration date
05/13/2008
Last updated
02/27/2013
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