JORDANA A HEAVEN

WOODSTOCK, GA
NPI1104865955
Other NameJORDANA APOSTOLICO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  049697)
Enumeration Date2006-06-06
Last Update Date2011-10-03
Business Address
-- JORDANA A HEAVEN MD
2000 PROFESSIONAL WAY STE 200
WOODSTOCK, GA 30188
Phone number: 770-517-0250
Mailing Address
-- JORDANA A HEAVEN MD
2000 PROFESSIONAL WAY BLDG 200
WOODSTOCK, GA 30188
Phone number: 770-517-0250
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