Performance Pediatrics and Sports Medicine, LLC
NPI #1295081321 in Bogart, Georgia
Provider Information
- NPI Number
- 1295081321
- Entity Type
- Organization
- Organization Name
- Performance Pediatrics and Sports Medicine, LLC
- Primary Specialty
- Pediatrics - Sports Medicine
- Enumeration Date
- Jul 26, 2012
- Last Updated
- Jul 26, 2012
Practice Location
Authorized Official
- Name
- DR. TARA ANN MERRITT, M.D.
- Title
- OWNER PHYSICIAN
- Phone
- (706) 202-3236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics |
| Pediatrics - Sports Medicine — Sports Medicine |
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| DR. William Angelo Primos JR., MD | |
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