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Organization

COVENANT CARE PEDIATRICS PC

Active
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Organization

COVENANT CARE PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK PULLIAM MD (PRESIDENT)
(770) 389-4543
Entity
Organization

Contact information

Practice address
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281-7212
(770) 389-4543
(770) 474-0566
Mailing address
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281-7212
(770) 389-4543
(770) 474-0566

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/21/2007
Last updated
12/18/2017
About Stedi
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  • EDI platform