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Individual

DR. MIRTHA YOBANA AGUILAR ALVARADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 778-6920
Mailing address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 778-6920

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036133609
IL
207Q00000X
Family Medicine Physician
Primary
74160
GA
390200000X
Student in an Organized Health Care Education/Training Program
125.059083
IL

Other

Enumeration date
06/20/2011
Last updated
02/07/2019
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