Organization
VILLAGE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA MAXEY MD (VICE PRESIDENT)
(678) 288-4142
Entity
Organization
Contact information
Practice address
1862 AUBURN RD, SUITE 107, DACULA, GA 30019-1676
(678) 288-4142
(678) 288-4143
Mailing address
1862 AUBURN RD, SUITE 107, DACULA, GA 30019-1676
(678) 288-4142
(678) 288-4143
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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