Hubbard Pediatric Group

NPI 1447660113 - Pediatrics - 208000000X

NPI Details
NPI 1447660113
Enumeration Date 05/05/2014
Last Updated 05/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HOLLY L HOLLY
Position OWNER/ PRESIDENT
Phone (770) 710-0117
Fax
Practice Location
4495 ATLANTA HWY
LOGANVILLE GA, 30052-6736, US
Phone (770) 710-0117
Fax
Business Location
309 BLUE CREEK LN
LOGANVILLE GA, 30052-7834, US
Phone (770) 710-0110
Fax
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 064814
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According to our database, Hubbard Pediatric Group NPI is 1447660113, taxonomy code is 208000000X and license number is 064814, license state is located at Georgia. Hubbard Pediatric Group physically located at 4495 Atlanta Hwy, Loganville GA, 30052-6736. NPI Number 1033115704 has the healthcare provider type.

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1447660113 NPI number is provided on an as is basis without warranty of any kind. 1447660113 is maintained by the National Plan & Provider Enumeration System. The contents of Hubbard Pediatric Group are for informational purposes only.