Individual
ANNE AURELIE NGO TEDGA MOCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
(240) 329-8974
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
97043
GA
2080P0202X
Pediatric Cardiology Physician
Primary
97043
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
08/14/2025
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