Organization
SUNRISE PEDIATRIC NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISE FRAZIER (OWNER)
(678) 606-5700
Entity
Organization
Contact information
Practice address
3417 CANTON RD, BUILDING1, MARIETTA, GA 30066-2896
(678) 606-5700
Mailing address
3417 CANTON RD, BUILDING 1, MARIETTA, GA 30066-2896
(678) 606-5700
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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