Organization
GEORGIA GENETICS, LLC
Active
Parent organization
PEDIATRICS & GENETICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRICS & GENETICS, LLC
Authorized official
DR. VIDYA KRISHNAMURTHY M.D. (PHYSICIAN/OWNER)
(770) 346-0132
Entity
Organization
Contact information
Practice address
3180 N POINT PKWY, SUITE202, ALPHARETTA, GA 30005-4248
(770) 346-0132
(770) 346-0165
Mailing address
3180 N POINT PKWY, SUITE202, ALPHARETTA, GA 30005-4248
(770) 346-0132
(770) 346-0165
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
057528
GA
Other
Enumeration date
11/09/2007
Last updated
05/23/2016
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