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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYANN JOHNSTON FEDACK, M.D.

Active

MARYANN JOHNSTON FEDACK, M.D. is a Pediatrics healthcare provider located in ALPHARETTA, Georgia. NPI 1194780064 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ALPHARETTA, GA

Registration Details

NPI Number
1194780064
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2006 (20.273439893938 yrs)
Last Updated
Jun 5, 2018
Licenses
057370 (GA)
54370 (GA)

Practice Information

Address
1111 ALDERMAN DRIVE
STE. 250
ALPHARETTA, GA, 30005
Browse GA providers · Browse ZIP 30005
Phone
6785271555
Fax
6785271559
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in ALPHARETTA, GA

Name Credential NPI
DR. LYUDMILA VAYMAN M.D. 1205835097
DR. VAISHALI B KUTE MD 1548260904
DEEPA NARANG MD 1699761361
BROOK BELAY MD MPH 1053309138
DR. MICHAEL R PAPCIAK M.D. 1144210329
DR. SHEFALI D CHHEDA MD 1285624338
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.