Organization
NORCROSS PEDIATRICS AND ADOLESCENT MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KATSITADZE MD (OWNER)
(770) 923-6400
Entity
Organization
Contact information
Practice address
1235 INDIAN TRAIL RD, SUITE 106, NORCROSS, GA 30093-4502
(770) 923-6400
(770) 564-1697
Mailing address
PO BOX 4048, MACON, GA 31208-4048
(770) 923-6400
(770) 564-1697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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