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Organization
NORCROSS PEDIATRICS AND ADOLESCENT MEDICINE, INC
Active
Organization
NORCROSS PEDIATRICS AND ADOLESCENT MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KATSITADZE MD (OWNER)
(770) 923-6400
Entity
Organization
Contact information
Practice address
1235 INDIAN TRAIL RD, SUITE 106, NORCROSS, GA 30093-4502
(770) 923-6400
(770) 564-1697
Mailing address
PO BOX 4048, MACON, GA 31208-4048
(770) 923-6400
(770) 564-1697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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