Covenant Care Pediatrics PC

NPI #1902941503 in Stockbridge, Georgia

Provider Information

NPI Number: 1902941503
Entity Type: Organization
Organization Name: Covenant Care Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Feb 21, 2007
Last Updated: Dec 18, 2017

Practice Location

Address: 245 COUNTRY CLUB DR BLDG 200A
City: Stockbridge
State: Georgia
ZIP Code: 30281-7212
Phone: (770) 389-4543

Authorized Official

Name: DR. PATRICK PULLIAM, MD
Title: PRESIDENT
Phone: (770) 389-4543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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