Organization
WOODSTOCK PEDIATRIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARULANDA (PRACTICE MANAGER)
(770) 517-0250
Entity
Organization
Contact information
Practice address
2000 PROFESSIONAL WAY, BLDG 200, WOODSTOCK, GA 30188-4093
(770) 517-0250
(770) 517-0260
Mailing address
2000 PROFESSIONAL WAY, BLDG 200, WOODSTOCK, GA 30188-4093
(770) 517-0250
(770) 517-0260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001488G
—
GA
Enumeration date
05/04/2007
Last updated
03/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us