Organization
PEDIATRIC PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE DE URIOSTE (BUSINESS MANAGER)
(770) 518-9277
Entity
Organization
Contact information
Practice address
11050 CRABAPPLE RD, SUITE 120, ROSWELL, GA 30075-2489
(770) 518-9277
(770) 518-8718
Mailing address
11050 CRABAPPLE RD, SUITE 120, ROSWELL, GA 30075-2489
(770) 518-9277
(770) 518-8718
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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