Peach State Pediatrics

NPI 1215280177 - Pediatrics - 208000000X

NPI Details
NPI 1215280177
Enumeration Date 10/16/2012
Last Updated 10/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MOHAMMED MOHAMMED
Position OWNER
Phone (850) 875-3600
Fax
Practice Location
3001 S COBB DR SE
SUITE 107
SMYRNA GA, 30080-7874, US
Phone (850) 875-3600
Fax
Business Location
3001 S COBB DR SE
SUITE 107
SMYRNA GA, 30080-7874, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 62300
Remove 1215280177 NPI Number
 

According to our database, Peach State Pediatrics NPI is 1215280177, taxonomy code is 208000000X and license number is 62300, license state is located at Georgia. Peach State Pediatrics physically located at 3001 S Cobb Dr Se, Smyrna GA, 30080-7874. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1215280177 NPI number is provided on an as is basis without warranty of any kind. 1215280177 is maintained by the National Plan & Provider Enumeration System. The contents of Peach State Pediatrics are for informational purposes only.