Organization
HEART OF RAPHA LLC
Active
Other names
Children's Heart of Rapha Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE AURELIE NGO TEDGA MOCHE MD (OWNER)
(470) 507-0029
Entity
Organization
Contact information
Practice address
125 EAGLES WALK STE 150, STOCKBRIDGE, GA 30281-7207
(470) 507-0029
(470) 507-0030
Mailing address
2831 LAKE JODECO RD, JONESBORO, GA 30236-5335
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/14/2025
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