Organization
CANDLER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA L GRIMMETT (PRACTICE ADMINISTRATOR)
(678) 464-0691
Entity
Organization
Contact information
Practice address
2855 CANDLER RD, STE 4, DECATUR, GA 30034-1415
(678) 464-0691
Mailing address
2855 CANDLER RD, STE 4, DECATUR, GA 30034-1415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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