Organization
MEDLOCK PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A BATLLE MD (DOCTOR)
(770) 813-9775
Entity
Organization
Contact information
Practice address
3497 DULUTH PARK LANE, DULUTH, GA 30096
(770) 813-9775
(770) 813-8976
Mailing address
3497 DULUTH PARK LANE, DULUTH, GA 30096
(770) 813-9775
(770) 813-8976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000772G
—
GA
Enumeration date
09/14/2006
Last updated
08/22/2020
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