Organization
LIGHTHOUSE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY WILSON MD (OWNER)
(470) 697-1396
Entity
Organization
Contact information
Practice address
3610 PIEDMONT RD NE STE 100, ATLANTA, GA 30305-1406
(470) 697-1396
Mailing address
3610 PIEDMONT RD NE STE 100, ATLANTA, GA 30305-1406
(470) 697-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/21/2022
Last updated
09/09/2022
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