Our Village Pediatrics, LLC

NPI #1255952347 in Canton, Georgia

Provider Information

NPI Number
1255952347
Entity Type
Organization
Organization Name
Our Village Pediatrics, LLC
Primary Specialty
Pediatrics
Enumeration Date
Apr 30, 2020
Last Updated
Apr 30, 2020

Practice Location

Address
115 ACADEMY ST
City
Canton
State
Georgia
ZIP Code
30114-2860
Phone
(470) 389-4970

Authorized Official

Name
JUSTIN GLAESER
Title
OFFICE MANAGER
Phone
(470) 389-4970

Specialties & Taxonomy Codes

Specialty
Pediatrics

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