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Organization

PEDIATRIC ENDOCRINE ASSOCIATES II LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALICIA HOLDEN (BILLING MANAGER)
(404) 943-0205
Entity
Organization

Contact information

Practice address
1100 LAKE HEARN DR NE, SUITE 350, ATLANTA, GA 30342-1523
(404) 255-0015
(404) 845-3080
Mailing address
5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-8102
(404) 943-0205
(404) 943-0209

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary

Other

Enumeration date
10/26/2009
Last updated
10/26/2009
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