Providence Pediatrics, Llc Valid NPI

Organization · Primary Care Clinic/Center · Tucker, GA

NPI

1104086800

Type

Organization (Type 2)

Primary specialty

Primary Care Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QP2300X

License number

041796 (GA)

Enumerated

2008-06-16

Last updated

2010-11-04