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1386269835
PRAMILA PALLIKKAPPARA MOIDEEN
AUGUSTA, GA
NPI
1386269835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA 11961)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
PRAMILA PALLIKKAPPARA MOIDEEN MD
AUGUSTA UNIVERSITY MEDICAL CENTER ROOM BF-103-B
AUGUSTA, GA 30912-0001
Phone number: 706-721-5118
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Mailing Address
PRAMILA PALLIKKAPPARA MOIDEEN MD
699 WINDSOR RD
COPPELL, TX 75019-2552
Phone number: 972-951-9599
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