Organization
PEDIATRIC ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI C HARE (BILLING MANAGER)
(770) 534-5255
Entity
Organization
Contact information
Practice address
1485 JESSE JEWELL PKWY NE, SUITE 200, GAINESVILLE, GA 30501-3806
(770) 534-5255
(770) 287-3871
Mailing address
1485 JESSE JEWELL PKWY NE, SUITE 200, GAINESVILLE, GA 30501-3806
(770) 534-5255
(770) 287-3871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
06/19/2012
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