Romualda S Klicius MD

NPI 1033108121 - Pediatrics - 208000000X

NPI Details
NPI 1033108121
Gender Female
Enumeration Date 10/20/2005
Last Updated 12/12/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2230 TOWNE LAKE PKWY
BUILDING 300, SUITE 100
WOODSTOCK GA, 30189-5540, US
Phone (770) 517-1900
Fax (770) 926-3215
Business Location
2230 TOWNE LAKE PKWY
BUILDING 300, SUITE 100
WOODSTOCK GA, 30189-5540, US
Phone (770) 517-1900
Fax (770) 926-3215
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 046305
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According to our database, Dr. Romualda S Klicius MD NPI is 1033108121, taxonomy code is 208000000X and license number is 046305, license state is located at Georgia. Romualda S Klicius MD physically located at 2230 Towne Lake Pkwy, Woodstock GA, 30189-5540. NPI Number Romualda S Klicius MD has the Individual type.

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1033108121 NPI number is provided on an as is basis without warranty of any kind. 1033108121 is maintained by the National Plan & Provider Enumeration System. The contents of Romualda S Klicius MD are for informational purposes only.