Provider Demographics
NPI:1902908445
Name:PARADISIS, PEGGY MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:MARIA
Last Name:PARADISIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5665 NEW NORTHSIDE DR NW
Mailing Address - Street 2:IN CARE OF APOLLOMD, SUITE 320
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5831
Mailing Address - Country:US
Mailing Address - Phone:770-874-5400
Mailing Address - Fax:
Practice Address - Street 1:5665 NEW NORTHSIDE DR NW
Practice Address - Street 2:IN CARE OF APOLLOMD, SUITE 320
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5831
Practice Address - Country:US
Practice Address - Phone:770-874-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2013-08-07
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Provider Licenses
StateLicense IDTaxonomies
GA0453112080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine