Organization
EAGLES LANDING PEDIATRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WAYNE LEARD MD (OWNERPHYSICIAN)
(678) 289-0103
Entity
Organization
Contact information
Practice address
1101 HOSPITAL DR, SUITE 210, STOCKBRIDGE, GA 30281-9075
(678) 289-0103
(678) 289-0171
Mailing address
1101 HOSPITAL DR, SUITE 210, STOCKBRIDGE, GA 30281-9075
(678) 289-0103
(678) 289-0171
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
040449
GA
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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