Southside Pediatrics

NPI #1659580215 in Stockbridge, Georgia

Provider Information

NPI Number: 1659580215
Entity Type: Organization
Organization Name: Southside Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: May 21, 2007
Last Updated: Oct 14, 2010

Practice Location

Address: 151 NORTH PARK TRAIL
Address 2: SUITE A
City: Stockbridge
State: Georgia
ZIP Code: 30281-7373
Phone: (678) 565-3300

Authorized Official

Name: DR. RAVI S IYER, MD
Title: PRESIDENT
Phone: (678) 565-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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