# GEORGIA PEDIATRIC PULMONOLOGY ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1912191446
- **Authorized official:** MRS. TERESA FLOYD (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (404) 252-7339

## Contact information

- **Practice address:** 1100 LAKE HEARN DR NE, SUITE 450, ATLANTA, GA 30342-1523
- **Practice address phone:** (404) 252-7339
- **Practice address fax:** (404) 257-0337
- **Mailing address:** 1100 LAKE HEARN DR NE, SUITE 450, ATLANTA, GA 30342-1523
- **Mailing address phone:** (404) 252-7339
- **Mailing address fax:** (404) 257-0337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 08/28/2007