Organization
PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN CHRISTIAN (PRACTICE ADMINISTRATOR)
(404) 601-7290
Entity
Organization
Contact information
Practice address
5455 MERIDIAN MARKS RD NE, SUITE 570, ATLANTA, GA 30342-1654
(404) 252-3353
(404) 252-0645
Mailing address
5455 MERIDIAN MARKS RD NE, SUITE 570, ATLANTA, GA 30342-1654
(404) 252-3353
(404) 252-0645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NOT APPLICABLE
GA
Other
Enumeration date
03/02/2006
Last updated
08/22/2020
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