Organization
LAURENS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANNAN VAIDYANATHAN MD (PHYSICIAN OWNER)
(478) 272-5212
Entity
Organization
Contact information
Practice address
112 ROWE ST, DUBLIN, GA 31021-5200
(478) 272-5212
(478) 272-5217
Mailing address
112 ROWE ST, DUBLIN, GA 31021-5200
(478) 272-5212
(478) 272-5217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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