# LILBURN PEDIATRICS

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

## Provider details

- **NPI number:** 1871731828
- **Authorized official:** DR. VIJAY ARORA (PHYSICIAN)
- **Authorized official phone:** (770) 381-0307

## Contact information

- **Practice address:** 4025 LAWRENCEVILLE HWY NW, SUITE B, LILBURN, GA 30047-2819
- **Practice address phone:** (770) 381-0307
- **Mailing address:** 4025 LAWRENCEVILLE HWY NW, SUITE B, LILBURN, GA 30047-2819
- **Mailing address phone:** (770) 381-0307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 058358 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 21633 | GA | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 01/05/2010