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Organization

GEORGETOWN PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LESLIE MOSELEY (PRACTICE ADMINISTRATOR)
(770) 392-6555
Entity
Organization

Contact information

Practice address
11 DUNWOODY PARK, SUITE 190, DUNWOODY, GA 30338-7408
(770) 392-6555
Mailing address
11 DUNWOODY PARK, SUITE 190, DUNWOODY, GA 30338-7408
(770) 392-6555

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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