South Dekalb Pediatrics

NPI #1912107079 in Conyers, Georgia

Provider Information

NPI Number: 1912107079
Entity Type: Organization
Organization Name: South Dekalb Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

Address: 2395 WALL ST SE
Address 2: SUITE 700
City: Conyers
State: Georgia
ZIP Code: 30013-6703
Phone: (404) 243-9630

Authorized Official

Name: JORON R. MURRY, CMPE, CPC
Title: PRACTICE ADMINISTRATOR
Phone: (404) 243-9630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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