ANNE VIDANAGAMA

AUSTELL, GA
NPI1538122122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: GA  019433)
Enumeration Date2006-04-06
Last Update Date2009-11-25
Business Address
-- ANNE VIDANAGAMA MD
3950 AUSTELL ROAD
AUSTELL, GA 30106
Phone number: 770-732-3649
Mailing Address
-- ANNE VIDANAGAMA MD
PO BOX 155
AUSTELL, GA 30168-1002
Phone number: 770-732-3649
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