Organization
ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC
Active
Parent organization
ZOE CENTER FOR PEDIATRIC & ADOLESCENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ZOE CENTER FOR PEDIATRIC & ADOLESCENT
Authorized official
STEPHANIE H KONG MD (PRESIDENT/CEO)
(706) 938-0990
Entity
Organization
Contact information
Practice address
100 HIGHWAY 18 W, STE 201, BARNESVILLE, GA 30204-1171
(706) 938-0990
(706) 647-3861
Mailing address
210 HANNAHS MILL RD, THOMASTON, GA 30286-2801
(706) 938-0990
(706) 647-3861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039388
GA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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