Main Street Internal Medicine & Pediatrics PC
NPI #1619155306 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1619155306
- Entity Type
- Organization
- Organization Name
- Main Street Internal Medicine & Pediatrics PC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Feb 5, 2008
- Last Updated
- Jan 22, 2009
Practice Location
- Address
- 401 S MAIN ST
- Address 2
- SUITE C5
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30009-7960
- Phone
- (678) 205-2437
Authorized Official
- Name
- DR. MARIBEL LABINDALAWA ANGKA SERVERA, MD
- Title
- PHYSICIAN
- Phone
- (678) 205-2437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics |
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