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Individual

MRS. GALINA VAYNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6330 PRIMROSE HILL CT, NORCROSS, GA 30092-4544
(404) 385-0160
(404) 365-0751
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(404) 385-0160
(404) 365-0751

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044134
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000821928F
GA
01
1609816123
GEORGIA CLINIC, PC GROUP NPI #
GA
Enumeration date
11/02/2005
Last updated
12/08/2014
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