Organization
DECATUR PEDIATRICS GROUP - COVINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE WILSON-PHILLIPS MD (PHYSICIAN/MANAGER)
(404) 296-7133
Entity
Organization
Contact information
Practice address
10246 INDUSTRIAL BLVD NE, COVINGTON, GA 30014-1476
(404) 296-7133
Mailing address
10246 INDUSTRIAL BLVD NE, COVINGTON, GA 30014-1476
(404) 296-7133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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