Westside Pediatrics, P.c.

NPI #1104049519 in Douglasville, Georgia

Provider Information

NPI Number: 1104049519
Entity Type: Organization
Organization Name: Westside Pediatrics, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6084 PROFESSIONAL PKWY
Address 2: SUITE A
City: Douglasville
State: Georgia
ZIP Code: 30134-5613
Phone: (770) 920-0085

Authorized Official

Name: DR. RAJU JOSEPH KULANGARA, M.D.
Title: OWNER
Phone: (770) 920-0085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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