Individual
MRS. ANNIE VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
465 WINN WAY SUITE 130, DECATUR, GA 30030
(404) 508-1208
(404) 508-1248
Mailing address
465 WINN WAY SUITE 130, DECATUR, GA 30030
(404) 508-1208
(404) 508-1248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00542066H
—
GA
Enumeration date
10/24/2006
Last updated
11/16/2017
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