Individual
DR. INGRID S VAN ORDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1875 CENTURY BLVD NE, SUITE 150, ATLANTA, GA 30345-3319
(404) 633-4595
(404) 633-6637
Mailing address
1875 CENTURY BLVD NE, SUITE 150, ATLANTA, GA 30345-3319
(404) 633-4595
(404) 633-6637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635775
—
GA
Enumeration date
05/25/2006
Last updated
07/08/2007
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