Organization
PEDIATRIA HEALTHCARE, LLC
Active
Other names
Pediatria HealthCare for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D. SANSONE (CEO/CHAIRMAN)
(770) 840-1966
Entity
Organization
Contact information
Practice address
25 CHATHAM CTR S, SAVANNAH, GA 31405-1302
(912) 447-5437
(912) 447-9584
Mailing address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
(770) 840-1901
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
CCLC-20996
GA
235Z00000X
Speech-Language Pathologist
Primary
CCLC-20996
GA
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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