Organization
POTTS AND SMITH PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH J STAATS (OFFICE ADMINISTRATOR)
(770) 461-5003
Entity
Organization
Contact information
Practice address
365 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1627
(770) 461-5003
(770) 461-4939
Mailing address
365 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1627
(770) 461-5003
(770) 461-4939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
017642
GA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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