United Pediatrics Pc

NPI 1003119934 - Pediatrics - 208000000X

NPI Details
NPI 1003119934
Enumeration Date 12/15/2010
Last Updated 12/15/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TAYABA TAYABA
Position OWNER
Phone (770) 717-0033
Fax (770) 717-0028
Practice Location
4775 JIMMY CARTER BLVD
SUITE 102
NORCROSS GA, 30093-3760, US
Phone (770) 717-0033
Fax (770) 717-0028
Business Location
4775 JIMMY CARTER BLVD
SUITE 102
NORCROSS GA, 30093-3760, US
Phone (770) 717-0033
Fax (770) 717-0028
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 045783
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According to our database, United Pediatrics Pc NPI is 1003119934, taxonomy code is 208000000X and license number is 045783, license state is located at Georgia. United Pediatrics Pc physically located at 4775 Jimmy Carter Blvd, Norcross GA, 30093-3760. NPI Number 1033115704 has the healthcare provider type.

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1003119934 NPI number is provided on an as is basis without warranty of any kind. 1003119934 is maintained by the National Plan & Provider Enumeration System. The contents of United Pediatrics Pc are for informational purposes only.