Walton Children's Clinic

NPI #1396145058 in Loganville, Georgia

Provider Information

NPI Number: 1396145058
Entity Type: Organization
Organization Name: Walton Children's Clinic
Primary Specialty: Pediatrics
Enumeration Date: Sep 1, 2014
Last Updated: Sep 23, 2015

Practice Location

Address: 98 TARA COMMONS DR
Address 2: SUITE 400
City: Loganville
State: Georgia
ZIP Code: 30052-8031
Phone: (770) 207-5437

Authorized Official

Name: EBBA K EBBA, MD
Title: PRESIDENT
Phone: (770) 207-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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