Organization
THE PEDIATRICPLACE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M BERGMAN M.D (OWNER)
(770) 640-8119
Entity
Organization
Contact information
Practice address
9570 NESBIT FERRY RD STE 201, ALPHARETTA, GA 30022-6859
(770) 640-8119
(770) 640-8260
Mailing address
9570 NESBIT FERRY RD STE 201, ALPHARETTA, GA 30022-6859
(770) 640-8119
(770) 640-8260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051116
GA
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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