Organization
TRI-COUNTY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PURNA CHADALAWADA M.D. (PARTNER)
(770) 996-9191
Entity
Organization
Contact information
Practice address
808 COMMERCE BLVD, SUITE A, RIVERDALE, GA 30296-7192
(770) 996-9191
Mailing address
808 COMMERCE BLVD, SUITE A, RIVERDALE, GA 30296-7192
(770) 996-9191
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/14/2007
Last updated
08/22/2020
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