Pediatric Health Center Of Conyers, Pc

NPI 1013079987 - Pediatrics - 208000000X

NPI Details
NPI 1013079987
Enumeration Date 12/15/2006
Last Updated 12/13/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLADYS H GLADYS
Position PRACTICE MANAGER, SEC/TREAS OF PC
Phone (770) 483-4431
Fax (770) 760-7200
Practice Location
2213 EXCHANGE PL SE
STE A
CONYERS GA, 30013-6723, US
Phone (770) 483-4431
Fax (770) 760-7200
Business Location
4243 DUNWOODY CLUB DR
STE 103
ATLANTA GA, 30350-5206, US
Phone (678) 336-5255
Fax (770) 760-7200
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Pediatric Health Center Of Conyers, Pc NPI is 1013079987, taxonomy code is 208000000X Pediatric Health Center Of Conyers, Pc physically located at 2213 Exchange Pl Se, Conyers GA, 30013-6723. NPI Number 1033115704 has the healthcare provider type.

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1013079987 NPI number is provided on an as is basis without warranty of any kind. 1013079987 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Health Center Of Conyers, Pc are for informational purposes only.