Organization
STAY WELL PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHA SONI MD (OWNER)
(678) 248-2350
Entity
Organization
Contact information
Practice address
5139 JIMMY CARTER BLVD, SUITE # 205, NORCROSS, GA 30093-1680
(678) 248-2350
(678) 404-8435
Mailing address
5139 JIMMY CARTER BLVD, SUITE # 205, NORCROSS, GA 30093-1680
(678) 248-2350
(678) 404-8435
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
060096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328093387A
—
GA
Enumeration date
09/30/2011
Last updated
09/30/2011
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