Wellstar Pediatrics At Brookstone, Llc

NPI 1669429734 - Pediatrics - 208000000X

NPI Details
NPI 1669429734
Enumeration Date 05/27/2006
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICOLE NICOLE
Position EXECUTIVE DIRECTOR OF FINANCE
Phone (770) 424-8222
Fax (770) 424-9962
Practice Location
5150 STILESBORO RD NW
SUITE 220
KENNESAW GA, 30152-7744, US
Phone (770) 424-8222
Fax (770) 424-9962
Business Location
5150 STILESBORO RD NW
SUITE 220
KENNESAW GA, 30152-7744, US
Phone (770) 424-8222
Fax (770) 424-9962
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1669429734 NPI Number
 

According to our database, Wellstar Pediatrics At Brookstone, Llc NPI is 1669429734, taxonomy code is 208000000X Wellstar Pediatrics At Brookstone, Llc physically located at 5150 Stilesboro Rd Nw, Kennesaw GA, 30152-7744. NPI Number 1033115704 has the healthcare provider type.

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1669429734 NPI number is provided on an as is basis without warranty of any kind. 1669429734 is maintained by the National Plan & Provider Enumeration System. The contents of Wellstar Pediatrics At Brookstone, Llc are for informational purposes only.