Organization
WESTSIDE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJU JOSEPH KULANGARA M.D. (OWNER)
(770) 920-0085
Entity
Organization
Contact information
Practice address
6084 PROFESSIONAL PKWY, SUITE A, DOUGLASVILLE, GA 30134-5613
(770) 920-0085
(770) 920-0062
Mailing address
6084 PROFESSIONAL PKWY, SUITE A, DOUGLASVILLE, GA 30134-5613
(770) 920-0085
(770) 920-0062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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