Organization
UNITED PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYABA FATEMA MD (OWNER)
(770) 717-0033
Entity
Organization
Contact information
Practice address
4775 JIMMY CARTER BLVD, SUITE 102, NORCROSS, GA 30093-3760
(770) 717-0033
(770) 717-0028
Mailing address
4775 JIMMY CARTER BLVD, SUITE 102, NORCROSS, GA 30093-3760
(770) 717-0033
(770) 717-0028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
045783
GA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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