Providence Pediatrics, LLC

NPI #1104086800 in Tucker, Georgia

Provider Information

NPI Number
1104086800
Entity Type
Organization
Organization Name
Providence Pediatrics, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 16, 2008
Last Updated
Nov 4, 2010

Practice Location

Address
2171 NORTHLAKE PKWY
Address 2
SUITE 114
City
Tucker
State
Georgia
ZIP Code
30084-4104
Phone
(770) 939-7477

Authorized Official

Name
DR. ERICA YVETTE FRANCIS-SCOTT, M.D.
Title
MANAGING MEMBER
Phone
(770) 939-7477

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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