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Organization

DR.SOOS PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MALLORY LEE (BILLING/CREDENTIALING)
(478) 272-0203
Entity
Organization

Contact information

Practice address
102 BOWLING LN, DUBLIN, GA 31021-2502
(478) 272-0203
(478) 272-0223
Mailing address
102 BOWLING LN, DUBLIN, GA 31021-2502
(478) 272-0203
(478) 272-0223

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/13/2011
Last updated
05/04/2015
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