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Contact Information

ENDOHEALTH
1690 STONE VILLAGE LN NW STE 207
KENNESAW, GA30152-7778
 Phone: 678-829-6030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ENDOHEALTH · (Female)

NPI Number 1710428305
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2017
Last updated 03/31/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 061573
  • GA Other 1619154184 NUPIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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