Organization
LIFE CYCLE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SIGOUIN (PRACTICE MANAGER)
(404) 766-8371
Entity
Organization
Contact information
Practice address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
(404) 767-3926
Mailing address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
(404) 767-3926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046192
GA
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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