Organization
GEORGIA CENTER FOR AUTISM AND DEVELOPMENTAL PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DANIEL MONCINO MD (CEO)
(404) 748-6013
Entity
Organization
Contact information
Practice address
6065 ROSWELL RD STE 470, SANDY SPRINGS, GA 30328-4067
(770) 824-3395
(770) 691-5116
Mailing address
6065 ROSWELL RD STE 470, SANDY SPRINGS, GA 30328-4067
(404) 748-6013
(866) 984-3407
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
04/22/2020
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