Organization
PEDIATRIC SERVICES OF AMERICA, INC
Active
Other names
PSA Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DALE VALENTINE (VP COMPLIANCE)
(770) 248-8757
Entity
Organization
Contact information
Practice address
1060 GAINES SCHOOL RD, STE B-2A, ATHENS, GA 30605-3198
(706) 353-0712
(706) 353-7511
Mailing address
310 TECHNOLOGY PKWY, NORCROSS, GA 30092-2932
(770) 441-1580
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
029-R-0378
GA
Other
Enumeration date
10/17/2007
Last updated
02/18/2008
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