Organization
HEALTHY STEPS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARNES HAMMOCK CPNP (OWNER)
(678) 384-3480
Entity
Organization
Contact information
Practice address
3911 MARY ELIZA TRCE NW, SUITE 200, MARIETTA, GA 30064-1086
(678) 384-3480
(678) 384-3481
Mailing address
3911 MARY ELIZA TRCE NW, SUITE 200, MARIETTA, GA 30064-1086
(678) 384-3480
(678) 384-3481
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN138345NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000978436D
—
GA
Enumeration date
02/18/2011
Last updated
12/19/2011
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