Individual
SETU S MAZUMDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 920-6420
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
049919
GA
207P00000X
Emergency Medicine Physician
25507
AL
207P00000X
Emergency Medicine Physician
40200
KY
207P00000X
Emergency Medicine Physician
—
NC
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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