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1376611764
THEODORA MBANEFO
DULUTH, GA
NPI
1376611764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 056596)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Dr. THEODORA MBANEFO MD
3650 STEVE REYNOLDS BLVD DEPARTMENT OF INTERNAL MEDICINE
DULUTH, GA 30096-4506
Phone number: 770-931-6065
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Mailing Address
Dr. THEODORA MBANEFO MD
3495 PIEDMONT RD NE NINE PIEDMONT CENTER
ATLANTA, GA 30305-1773
Phone number: 404-364-7000
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