Organization
PEDIATRIC WELLNESS ASSOCIATES LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIA ALEES WALTON MD (MEDICAL DIRECTOR)
(888) 381-8556
Entity
Organization
Contact information
Practice address
1240 UPPER HEMBREE RD STE A, ROSWELL, GA 30076-0914
(888) 381-8556
Mailing address
1240 UPPER HEMBREE RD STE A, ROSWELL, GA 30076-0914
(888) 381-8556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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