Organization
C. ALEXANDER PEDIATRICS LLC
Active
Organization
C. ALEXANDER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY ORMOND-HAM (OWNER)
(404) 916-2915
Entity
Organization
Contact information
Practice address
2180 REX ROAD, MORROW, GA 30260
(404) 916-2915
Mailing address
1629 RICHMOND MEADOW CT, LOGANVILLE, GA 30052-9080
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/05/2020
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