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1376938381
VIVIN MATHEW
LITHONIA, GA
NPI
1376938381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 081217)
Enumeration Date
2015-04-06
Last Update Date
2019-01-22
Business Address
Dr. VIVIN MATHEW m.d.
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Phone number: 404-501-8000
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Mailing Address
Dr. VIVIN MATHEW m.d.
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058-4996
Phone number:
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