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Organization
CENTER FOR PEDIATRIC WELLNESS, P.C.
Active
Organization
CENTER FOR PEDIATRIC WELLNESS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH M. LEDUC M.D. (PRESIDENT)
(404) 389-1600
Entity
Organization
Contact information
Practice address
960 JOHNSON FERRY RD NE, SUITE 315, ATLANTA, GA 30342-1631
(404) 389-1600
(404) 389-1610
Mailing address
960 JOHNSON FERRY RD NE, SUITE 315, ATLANTA, GA 30342-1631
(404) 389-1600
(404) 389-1610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553781B
—
GA
Enumeration date
06/06/2011
Last updated
06/06/2011
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