DR. JUDY H. SEQUEIRA


Address: 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409
Phone: 4048857701

DR. JUDY H. SEQUEIRA (NPI# 1487604849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487604849
Entity Type Individual
Full Name DR. JUDY H. SEQUEIRA
Credential M.D.
Practice Address 488 Kennesaw Ave Nw
Suite 200
Marietta
GA 30060-9409
Mailing Address 550 Peachtree St Ne
Suite 1620
Atlanta
GA 30308-2247
Practice Telephone 4048857701
Practice Fax Number 4048857777
Mailing Telephone 4048857701
Mailing Fax Number 4048857777
Enumeration Date 2006-05-10
Last Update Date 2009-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
042118 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000866929F 05
GA MEDICARE 22BDDBV 01

Office Location

Street Address 488 KENNESAW AVE NW
SUITE 200
City MARIETTA
State GA
Zip Code 30060-9409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184014813 Julie Taube Dietitian, Registered 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 2015-02-03
1992941462 Northwest Endoscopy Center, LLC Clinic/Center 488 Kennesaw Ave Nw, Suite 100, Marietta, GA 30060-9409 2009-01-05
1629246038 Chanya M Peters Registered Nurse 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 2008-02-19
1720263809 Charles Gregory Nesmith Jr. Internal Medicine 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 2008-01-08
1134336332 Basil S Al-awabdy Internal Medicine 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060 2007-05-17
1376685651 Lorena Del Carmen Narvaez Physician Assistant 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 2007-02-13
1912914565 Emilia Paige Espenship Dietitian, Registered 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060 2006-08-02
1831118405 Anna Virginia Longacre Internal Medicine 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 2006-07-18
1952345258 Mohammad A Wehbi Internal Medicine 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 2006-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760444186 Hany M Bishara Pathology 833 Campbell Hill St, Suite 111, Marietta, GA 30060 2006-04-03
1508090937 Sara Acree Pathology 677 Church St Ne, Department of Pathology, Marietta, GA 30060-1101 2009-05-13
1164669388 Tri County Pathology Associates Lab Pathology 833 Campbell Hill St Nw, Suite 111, Marietta, GA 30060-1134 2009-01-09
1356587109 Matthew J Macatol Md Pathology 401 Matthew St, Marietta, OH 45750-1635 2008-12-29
1245412402 Fortunato R Macatol Pathology 401 Matthew St, Marietta, OH 45750-1635 2007-11-29
1912199720 Matthew J Macatol Pathology 401 Matthew St, Marietta, OH 45750-1635 2007-08-15
1336270875 Aimee Popp Pathology 677 Church St Ne, Marietta, GA 30060-1101 2007-03-08
1073653655 Burton Kim Pathology 677 Church St Ne, Marietta, GA 30060-1101 2007-02-06
1164560876 Sara Elizabeth Nash Pathology 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 2007-02-02
1194870915 Haohai Liang Pathology 677 Church St Ne, Marietta, GA 30060-1101 2007-01-24
Find all providers in MARIETTA

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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