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Organization

ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE H KONG MD (PRESIDENT)
(706) 938-0990
Entity
Organization

Contact information

Practice address
100 HIGHWAY 18 W, STE 201, BARNESVILLE, GA 30204-1171
(706) 938-0990
(706) 647-3861
Mailing address
210 HANNAHS MILL RD, THOMASTON, GA 30286-2801
(706) 938-0990
(706) 647-3861

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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