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Organization

CAMP CREEK PEDIATRICS

Active
Other names
Charlene Johnson, MD
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY ANN DYSON (BILLING MANAGER)
(770) 745-1070
Entity
Organization

Contact information

Practice address
495 VIRGINIA HIGHLANDS, FAYETTEVILLE, GA 30215-8233
(770) 460-6459
Mailing address
2945 STONE HOGAN CONNECTOR RD SW STE 201, ATLANTA, GA 30331-2839
(404) 349-6758
(404) 349-6759

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049655
GA

Other

Enumeration date
01/11/2012
Last updated
01/11/2012
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