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Organization
DACULA PEDIATRICS, LLC
Active
Organization
DACULA PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARVPREET KAUR MD (OWNER)
(678) 517-5607
Entity
Organization
Contact information
Practice address
3625 BRASELTON HWY, SUITE 202, DACULA, GA 30019-1014
(770) 856-2363
(770) 809-5055
Mailing address
3234 ISLESWORTH TRCE, DULUTH, GA 30097-6288
(678) 417-9509
(770) 809-5055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
058358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629191465
PROVIDER NPI NUMBER
GA
05
—
904800152B
—
GA
Enumeration date
01/08/2017
Last updated
01/08/2017
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