Organization
PEDS CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO R RIESCO MD (OWNER)
(706) 278-6628
Entity
Organization
Contact information
Practice address
1933 SHIELDS ROAD, DALTON, GA 30720
(706) 278-6628
(706) 278-6650
Mailing address
1933 SHIELDS ROAD, DALTON, GA 30720
(706) 278-6628
(706) 278-6650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
11/29/2010
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