| NPI | 1023315694 |
|---|---|
| Doing Business As | PEDIATRIA HEALTHCARE FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH D. SANSONE CEO/Chairman 770-840-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA CCLC-20996) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA CCLC-20996) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |