Pediatrics And Adolescent Medicine, Pa

NPI 1083746838 - Pediatrics - 208000000X

NPI Details
NPI 1083746838
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN SUSAN
Position PRACTICE ADMINISTRATOR
Phone (770) 973-4700
Fax (770) 973-5460
Practice Location
2155 POST OAK TRITT RD
SUITE 100
MARIETTA GA, 30062-8620, US
Phone (770) 973-4700
Fax (770) 973-5460
Business Location
PO BOX 101439
ATLANTA GA, 30392-1439, US
Phone (770) 973-4700
Fax (770) 973-5460
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 22123
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According to our database, Pediatrics And Adolescent Medicine, Pa NPI is 1083746838, taxonomy code is 208000000X and license number is 22123, license state is located at Georgia. Pediatrics And Adolescent Medicine, Pa physically located at 2155 Post Oak Tritt Rd, Marietta GA, 30062-8620. NPI Number 1033115704 has the healthcare provider type.

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1083746838 NPI number is provided on an as is basis without warranty of any kind. 1083746838 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatrics And Adolescent Medicine, Pa are for informational purposes only.