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Josephine T Ediale, MD
Pediatrics Physician in Villa Rica, Georgia
NPI 1902880842

Josephine T Ediale is a Pediatrics Physician based in Douglasville, GA. Josephine T Ediale practices in Villa Rica, GA and has the professional credentials of MD. The NPI Number for Josephine T Ediale is 1902880842 and holds a License No. 050514 (Georgia).

The current practice location address for Josephine T Ediale is 626 Dallas Hwy, Villa Rica, GA and can be reached out via phone at 770-459-9378 and via fax at 770-459-8613.

Location: 626 Dallas Hwy, Villa Rica, GA, 30135-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902880842
Provider Name
Josephine T Ediale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
626 Dallas Hwy, Villa Rica, GA, 30135-1800
Phone Number
770-459-9378
Fax Number
770-459-8613
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000922732C 05 GA
000922732 01 GA PEACHSTATE
01065140 01 GA AMERIGROUP
305728 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
626 Dallas Hwy
City
Villa Rica
State
Georgia
Zip
30180-1209
Phone Number
770-459-9378
Fax Number
770-459-8613
person
Provider Business Mailing Address Details
Address
626 Dallas Hwy
City
Villa Rica
State
Georgia
Zip
30180-1209
Phone Number
770-459-9378
Fax Number
770-459-8613
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
050514 (Georgia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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