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Individual

DR. DALE FREDRIC NORDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1062
(404) 785-6405
Mailing address
1300 WILDCLIFF PKWY NE, ATLANTA, GA 30329-3462
(404) 320-0393

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036241
GA

Other

Enumeration date
01/12/2007
Last updated
07/08/2007
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