Pediatrics and Adolescent Medicine, PA

NPI #1083746838 in Marietta, Georgia

Provider Information

NPI Number: 1083746838
Entity Type: Organization
Organization Name: Pediatrics and Adolescent Medicine, PA
Primary Specialty: Pediatrics
Enumeration Date: Mar 9, 2007
Last Updated: Aug 26, 2016

Practice Location

Address: 2155 POST OAK TRITT RD
Address 2: SUITE 100
City: Marietta
State: Georgia
ZIP Code: 30062-8620
Phone: (770) 973-4700

Authorized Official

Name: MRS. SUSAN SEVIN
Title: PRACTICE ADMINISTRATOR
Phone: (770) 973-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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