Organization
PIEDMONT PEDIATRIC PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY AQUINO (DIRECTOR OF PROVIDER ENROLLMENT)
(470) 271-3427
Entity
Organization
Contact information
Practice address
189 JEFFERSON PKWY, NEWNAN, GA 30263-5823
(770) 801-2500
(770) 803-2121
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
08/10/2021
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