Stockbridge Pediatrics

NPI #1033374103 in Stockbridge, Georgia

Provider Information

NPI Number: 1033374103
Entity Type: Organization
Organization Name: Stockbridge Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jul 28, 2008
Last Updated: Sep 6, 2011

Practice Location

Address: 239 VILLAGE CENTER PKWY
Address 2: SUITE 110
City: Stockbridge
State: Georgia
ZIP Code: 30281-9024
Phone: (770) 506-0095

Authorized Official

Name: DR. MARIXIE LEONOR-GILRANE, M.D.
Title: PHYSICIAN
Phone: (770) 506-0095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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