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Organization
GRAYSON PEDIATRICS, LLC
Active
Organization
GRAYSON PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A OPEKA CPNP (CFO)
(678) 381-2630
Entity
Organization
Contact information
Practice address
2065 GRAYSON HWY, SUITE A, GRAYSON, GA 30017-1766
(404) 271-0709
Mailing address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
(678) 381-2627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
05/27/2014
Last updated
08/31/2026
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