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Organization
GWINNETT PEDIATRICS & ADOLESCENT MEDICINE
Active
Organization
GWINNETT PEDIATRICS & ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE SUE MAUND (PRACTICE ADMINISTRATOR)
(770) 995-0823
Entity
Organization
Contact information
Practice address
595 HURRICANE SHOALS RD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
595 HURRICANE SHOALS RD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
12/19/2016
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