Grayson Pediatrics Mobile

NPI #1649880667 in Loganville, Georgia

Provider Information

NPI Number: 1649880667
Entity Type: Organization
Organization Name: Grayson Pediatrics Mobile
Subpart: Yes (part of a larger organization)
Parent Organization: GRAYSON PEDIATRICS, LLC
Primary Specialty: Pediatrics
Enumeration Date: Aug 4, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 297 COOPER RD STE B
City: Loganville
State: Georgia
ZIP Code: 30052-2518
Phone: (888) 778-2429

Authorized Official

Name: JULIE A OPEKA, CPNP
Title: CO-FOUNDER, CO-OWNER, CPNP
Phone: (888) 778-2429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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