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1164423075
INDIRA GM MENON
DECATUR, GA
NPI
1164423075
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Former Name
INDIRA G MAMBALLIKALATHIL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: GA 047623)
Enumeration Date
2005-08-02
Last Update Date
2007-07-08
Business Address
Dr. INDIRA GM MENON M.D.
1457 SCOTT BLVD
DECATUR, GA 30030
Phone number: 404-292-2500
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Mailing Address
Dr. INDIRA GM MENON M.D.
PO BOX 1798
DECATUR, GA 30031-1798
Phone number: 404-292-2500
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