Organization
SUGARLOAF PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEN MATHEW (OFFICE MANAGER)
(678) 377-1113
Entity
Organization
Contact information
Practice address
3525 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-5403
(678) 377-1113
(678) 377-9390
Mailing address
3525 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-5403
(678) 377-1113
(678) 377-9390
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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