Organization
PEDIATRIC ASSOCITAES OF LAWRENCEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANURADHA SHETH MD (OWNER)
(770) 277-6725
Entity
Organization
Contact information
Practice address
755 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 277-6725
Mailing address
755 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 277-6725
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN173289
GA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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