Organization
METRO MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVAN MAMILLA M.D. (OWNER)
(770) 777-0750
Entity
Organization
Contact information
Practice address
11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4469
(770) 777-0750
(770) 777-0521
Mailing address
11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4469
(770) 777-0750
(770) 777-0521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054164
GA
Other
Enumeration date
07/30/2006
Last updated
01/02/2024
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