Organization
STOCKBRIDGE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIXIE LEONOR-GILRANE M.D. (PHYSICIAN)
(770) 506-0095
Entity
Organization
Contact information
Practice address
239 VILLAGE CENTER PKWY, SUITE 110, STOCKBRIDGE, GA 30281-9024
(770) 506-0095
(770) 506-8060
Mailing address
239 VILLAGE CENTER PKWY, SUITE 110, STOCKBRIDGE, GA 30281-9024
(770) 506-0095
(770) 506-8060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023757
GA
Other
Enumeration date
07/28/2008
Last updated
09/06/2011
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