Individual
SEBASTIAN ANDRES GANDARILLAS FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
105 NORTH PARK TRAIL, SUITE 300, STOCKBRIDGE, GA 30281
(678) 284-0800
(678) 284-9299
Mailing address
105 NORTH PARK TRAIL, SUITE 300, STOCKBRIDGE, GA 30281
(678) 284-0800
(678) 284-9299
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11479
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2020
Last updated
06/19/2026
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