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Individual

DR. MARJORIE ATTIMY-KALEVELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7838
Mailing address
2230 TOWNE LAKE PKWY STE 100, WOODSTOCK, GA 30189-5540
(770) 692-1000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN014920
GA
1223P0221X
Pediatric Dentistry
Primary
DN014920
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003170156A
GA
Enumeration date
06/13/2014
Last updated
12/13/2020
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