Organization
PROVIDENCE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA YVETTE FRANCIS-SCOTT M.D. (MANAGING MEMBER)
(770) 939-7477
Entity
Organization
Contact information
Practice address
2171 NORTHLAKE PKWY, SUITE 114, TUCKER, GA 30084-4104
(770) 939-7477
(770) 939-7750
Mailing address
PO BOX 870527, STONE MOUNTAIN, GA 30087-0014
(770) 939-7477
(770) 939-7750
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
041796
GA
Other
Enumeration date
06/16/2008
Last updated
11/04/2010
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