Organization
GREEN WILLOW PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEEMA BISHT-NADLER M.D., F.A.A.P (OWNER)
(678) 450-0747
Entity
Organization
Contact information
Practice address
3030 MCEVER RD, BUILDING 1, SUITE 130, GAINESVILLE, GA 30504-5579
(678) 450-0747
(678) 450-0779
Mailing address
3030 MCEVER RD, BUILDING 1, SUITE 130, GAINESVILLE, GA 30504-5579
(678) 450-0747
(678) 450-0779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046361
GA
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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