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Contact Information

GEORGIA PEDIATRIC CARDIOLOGY
1045 SOUTHCREST DR
STE 220
STOCKBRIDGE, GA30281-6113
 Phone: 678-289-1988
 Fax: 678-289-1512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GEORGIA PEDIATRIC CARDIOLOGY · (Female)

NPI # 1861485914
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2005
Last updated 08/23/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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