Organization
PANDYA MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA O. PANDYA D.O. (PRESIDENT)
(678) 984-3151
Entity
Organization
Contact information
Practice address
11315 JOHNS CREEK PKWY, JOHNS CREEK, GA 30097-2645
(770) 709-6922
(770) 709-6910
Mailing address
11555 MEDLOCK BRIDGE RD STE 190, JOHNS CREEK, GA 30097-1541
(678) 984-3151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60956
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60956
GA MEDICAL LICENSE
GA
Enumeration date
01/14/2014
Last updated
09/12/2024
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