Asa Med LLC
Pediatrics in Snellville, GA. Organization (NPI-2).
NPI number1982160735
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1982160735
- Entity type
- Organization (NPI-2)
- Legal business name
- Asa Med LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2019
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
2295 Ronald Reagan PkwySnellville, GA 30078-5698
Phone 770-982-2332
Mailing address
3292 Thompson Bridge Rd Ste 371Gainesville, GA 30506-1561
Phone 770-982-2332
Authorized official
Sheetal Mangalat
Owner
7709822332
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