# GEORGETOWN PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033428610
- **Authorized official:** MR. LESLIE MOSELEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 392-6555

## Contact information

- **Practice address:** 11 DUNWOODY PARK, SUITE 190, DUNWOODY, GA 30338-7408
- **Practice address phone:** (770) 392-6555
- **Mailing address:** 11 DUNWOODY PARK, SUITE 190, DUNWOODY, GA 30338-7408
- **Mailing address phone:** (770) 392-6555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2010
- **Last updated:** 09/30/2010