Genesys Pediatrics Llc

NPI 1477713006 - Pediatrics - 208000000X

NPI Details
NPI 1477713006
Enumeration Date 06/17/2008
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DOUGLAS DOUGLAS
Position OFFICE MANAGER
Phone (770) 987-2323
Fax (770) 987-4145
Practice Location
3598 PANOLA RD
LITHONIA GA, 30038-2731, US
Phone (770) 987-2323
Fax (770) 987-4145
Business Location
3598 PANOLA RD
LITHONIA GA, 30038-2731, US
Phone (770) 987-2323
Fax (770) 987-4145
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 051567
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According to our database, Genesys Pediatrics Llc NPI is 1477713006, taxonomy code is 208000000X and license number is 051567, license state is located at Georgia. Genesys Pediatrics Llc physically located at 3598 Panola Rd, Lithonia GA, 30038-2731. NPI Number 1033115704 has the healthcare provider type.

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1477713006 NPI number is provided on an as is basis without warranty of any kind. 1477713006 is maintained by the National Plan & Provider Enumeration System. The contents of Genesys Pediatrics Llc are for informational purposes only.