Individual
DR. JAVIER VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
4500 N SHALLOWFORD RD, ATLANTA, GA 30338-6476
(404) 778-6920
Mailing address
4500 N SHALLOWFORD RD, ATLANTA, GA 30338-6476
(404) 778-6920
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
74127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411285
—
GA
Enumeration date
01/21/2011
Last updated
01/08/2018
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