Decatur Pediatrics Group - Covington

NPI #1093143810 in Covington, Georgia

Provider Information

NPI Number: 1093143810
Entity Type: Organization
Organization Name: Decatur Pediatrics Group - Covington
Primary Specialty: Pediatrics
Enumeration Date: Oct 15, 2013
Last Updated: Oct 15, 2013

Practice Location

Address: 10246 INDUSTRIAL BLVD NE
City: Covington
State: Georgia
ZIP Code: 30014-1476
Phone: (404) 296-7133

Authorized Official

Name: LYNETTE WILSON-PHILLIPS, MD
Title: PHYSICIAN/MANAGER
Phone: (404) 296-7133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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