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Organization
PEDIATRIC HEALTH CENTER OF CONYERS, PC
Active
Organization
PEDIATRIC HEALTH CENTER OF CONYERS, PC
Active
Other names
PEDIATRIC HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS H GOLDBERG BSN (PRACTICE MANAGER, SEC/TREAS OF PC)
(678) 336-5255
Entity
Organization
Contact information
Practice address
4243 DUNWOODY CLUB DR STE 103, DUNWOODY, GA 30350-5206
(678) 336-5255
(678) 336-5259
Mailing address
4243 DUNWOODY CLUB DR, STE 103, ATLANTA, GA 30350-5206
(678) 336-5255
(770) 760-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000068912E
—
GA
05
—
000945051B
—
GA
Enumeration date
12/15/2006
Last updated
07/21/2022
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