PROVIDENCE PEDIATRICS, LLC

TUCKER, GA
NPI1104086800
Entity TypeOrganization
Authorized ContactERICA YVETTE FRANCIS-SCOTT
Managing Member
770-939-7477
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: GA  041796)
Enumeration Date2008-06-16
Last Update Date2010-11-04
Business Address
PROVIDENCE PEDIATRICS, LLC
2171 NORTHLAKE PKWY SUITE 114
TUCKER, GA 30084-4104
Phone number: 770-939-7477
Mailing Address
PROVIDENCE PEDIATRICS, LLC
PO BOX 870527
STONE MOUNTAIN, GA 30087-0014
Phone number: 770-939-7477