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Individual

JOSE ANDUJAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 WHITCHER ST NE, SUITE 130, MARIETTA, GA 30060-1155
(770) 428-0462
(770) 427-8001
Mailing address
55 WHITCHER ST NE, SUITE 130, MARIETTA, GA 30060-1155
(770) 428-0462
(770) 427-8001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35084250
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
62463
GA

Other

Enumeration date
10/06/2005
Last updated
10/29/2019
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