Organization
PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E GLASER (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
Update your record
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