Organization
PEDIATRIA HEALTHCARE LLC
Active
Other names
Pediatria HealthCare for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE HOOKE SHORT (VP OF BUSINESS OPERATIONS)
(770) 840-1966
Entity
Organization
Contact information
Practice address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
(770) 840-1901
Mailing address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
(770) 840-1901
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
044-R-0244
GA
Other
Enumeration date
11/28/2006
Last updated
02/06/2008
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