Total Grace Pediatrics P.c.

NPI #1396929444 in Stone Mountain, Georgia

Provider Information

NPI Number
1396929444
Entity Type
Organization
Organization Name
Total Grace Pediatrics P.c.
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Dec 26, 2007
Last Updated
Dec 26, 2007

Practice Location

Address
900 N HAIRSTON RD # RS
Address 2
SUITE A
State
Georgia
ZIP Code
30083-2857
Phone
(404) 292-8103

Authorized Official

Name
DR. BASHIRU A DAWODU, M.D.
Title
PHYSICIAN
Phone
(404) 292-8103

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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