Organization
EXCELLENT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER MORALES MD (OWNER)
(678) 807-2241
Entity
Organization
Contact information
Practice address
333 ALCOVY ST, SUITE 5, MONROE, GA 30655-2180
(678) 807-2230
Mailing address
PO BOX 747, MONROE, GA 30655-0747
(678) 807-2230
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
055771
GA
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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