Loganville Pediatrics & Adolescent Care Associates
NPI #1053325027 in Loganville, Georgia
Provider Information
- NPI Number
- 1053325027
- Entity Type
- Organization
- Organization Name
- Loganville Pediatrics & Adolescent Care Associates
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 3815 HARRISON RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2462
- Phone
- (770) 466-6112
Authorized Official
- Name
- ANN TULLIS
- Title
- OFFICE MANAGER
- Phone
- (770) 466-6112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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