Village Pediatrics at Vickery

NPI #1518445410 in Cumming, Georgia

Provider Information

NPI Number: 1518445410
Entity Type: Organization
Organization Name: Village Pediatrics at Vickery
Primary Specialty: Pediatrics
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 7185 COLFAX AVEUNE
Address 2: SUITE 200
City: Cumming
State: Georgia
ZIP Code: 30040
Phone: (678) 990-3362

Authorized Official

Name: DR. SHALINI MALA SHAH, MD
Title: PHYSICIAN/OWNER
Phone: (678) 523-8594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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