Organization
PEDIATRIC HEALTH CENTER OF CONYERS, PC
Active
Other names
PEDIATRIC HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS H GOLDBERG BSN (PRACTICE MANAGER, SEC/TREAS OF PC)
(678) 336-5255
Entity
Organization
Contact information
Practice address
4243 DUNWOODY CLUB DR STE 103, DUNWOODY, GA 30350-5206
(678) 336-5255
(678) 336-5259
Mailing address
4243 DUNWOODY CLUB DR, STE 103, ATLANTA, GA 30350-5206
(678) 336-5255
(770) 760-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000068912E
—
GA
05
—
000945051B
—
GA
Enumeration date
12/15/2006
Last updated
07/21/2022
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