# PEDIATRIC ASSOCIATES OF LAWRENCEVILLE LLC

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

## Provider details

- **NPI number:** 1770601593
- **Authorized official:** DR. ANURADHA N SHETH MD (OWNER)
- **Authorized official phone:** (770) 277-6725

## Contact information

- **Practice address:** 755 OLD NORCROSS RD SUITE 100, LAWRENCEVILLE, GA 30046
- **Practice address phone:** (770) 277-6725
- **Practice address fax:** (770) 277-9169
- **Mailing address:** 755 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045
- **Mailing address phone:** (770) 277-6725
- **Mailing address fax:** (770) 277-9169

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 10/04/2023