Vivian Ruth Barbara De Fernandez MD

NPI 1760432272 - Pediatrics - 208000000X

NPI Details
NPI 1760432272
Gender Female
Enumeration Date 05/12/2006
Last Updated 03/26/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1001 JOHNSON FERRY RD
STE 1102
ATLANTA GA, 30342-1605, US
Phone (404) 250-2007
Fax
Business Location
3530 HABERSHAM ROAD NW
ATLANTA GA, 30305, US
Phone (678) 249-4034
Fax (404) 841-0068
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 028347
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According to our database, Dr. Vivian Ruth Barbara De Fernandez MD NPI is 1760432272, taxonomy code is 208000000X and license number is 028347, license state is located at Georgia. Vivian Ruth Barbara De Fernandez MD physically located at 1001 Johnson Ferry Rd, Atlanta GA, 30342-1605. NPI Number Vivian Ruth Barbara De Fernandez MD has the Individual type.

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1760432272 NPI number is provided on an as is basis without warranty of any kind. 1760432272 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Ruth Barbara De Fernandez MD are for informational purposes only.