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1336168566
UDAY K TATA
BRASELTON, GA
NPI
1336168566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 053413)
Enumeration Date
2006-07-19
Last Update Date
2020-12-08
Business Address
UDAY K TATA M.D.
1515 RIVER PL STE 200
BRASELTON, GA 30517-5603
Phone number: 770-848-6140
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Mailing Address
UDAY K TATA M.D.
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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