Pediatric Cardiology Services LLC
Pediatrics, Pediatric Cardiology in Conyers, GA. Organization (NPI-2).
NPI number1467613232
StatusActive
Last updated in NPPESJun 24, 2008
Details
- NPI
- 1467613232
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Cardiology Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2008
- Last updated
- Jun 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | 043298 | GA | Yes |
Practice location
1380 Milstead Ave NeSuite J
Conyers, GA 30012-3864
Phone 770-995-6684 · Fax 770-995-7631
Mailing address
500 Medical Center BlvdSuite 340
Lawrenceville, GA 30045
Phone 770-995-6684 · Fax 770-995-7631
Authorized official
Kim Woody
Practice Administrator
7709956684
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