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1972722791
VIDYA PRADHAN PHOENIX
NEWNAN, GA
NPI
1972722791
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Former Name
VIDYA AVINASH PRADHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: GA 059853)
Enumeration Date
2007-04-24
Last Update Date
2020-09-03
Business Address
Dr. VIDYA PRADHAN PHOENIX M.D.
2700 HIGHWAY 34 EAST BLDG 300
NEWNAN, GA 30265-2315
Phone number: 678-423-7700
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Mailing Address
Dr. VIDYA PRADHAN PHOENIX M.D.
5901A PEACHTREE DUNWOODY RD STE 500
ATLANTA, GA 30328-7162
Phone number: 678-781-7373
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