Individual
DR. ATTRI DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 WOODPARK PLACE, BLDG C SUITE 100, WOODSTOCK, GA 30188
(770) 926-4150
(770) 926-0594
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51797
TN
207Q00000X
Family Medicine Physician
Primary
74813
GA
Other
Enumeration date
05/03/2011
Last updated
11/05/2019
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