Pediatric, Adolescent Surgican Associates, P.c.

NPI #1164499869 in Atlanta, Georgia

Provider Information

NPI Number: 1164499869
Entity Type: Organization
Organization Name: Pediatric, Adolescent Surgican Associates, P.c.
Primary Specialty: Specialist
Enumeration Date: Mar 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5455 MERIDIAN MARKS RD NE
Address 2: SUITE 570
City: Atlanta
State: Georgia
ZIP Code: 30342-1654
Phone: (404) 252-3353

Authorized Official

Name: JEAN CHRISTIAN
Title: PRACTICE ADMINISTRATOR
Phone: (404) 601-7290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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