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Organization
MCDONOUGH CHILDREN'S SPECIALIST, P.C.
Active
Organization
MCDONOUGH CHILDREN'S SPECIALIST, P.C.
Active
Other names
Joseph Astacio, M.D..P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ASTACIO M.D. (PRESIDENT)
(770) 957-3393
Entity
Organization
Contact information
Practice address
350 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
(770) 957-3393
Mailing address
PO BOX 1720, MCDONOUGH, GA 30253-1749
(770) 957-3393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002370G
—
GA
Enumeration date
03/21/2007
Last updated
12/02/2011
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