Organization
ABC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DEANNE SMOAK MD (PHYSICIAN OWNER)
(770) 461-4126
Entity
Organization
Contact information
Practice address
735 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 461-4126
(770) 461-8852
Mailing address
735 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 461-4126
(770) 461-8852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
02/28/2024
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