SPECTRUM PEDIATRIC GRP

KENNESAW, GA
NPI1154447043
Entity TypeOrganization
Authorized ContactKOLA OLOGUNJA
President
770-966-0778
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
(Licence: GA  050548)
Enumeration Date2007-03-22
Last Update Date2008-05-19
Business Address
SPECTRUM PEDIATRIC GRP
3104 CREEKSIDE VILLAGE DR SUITE 504
KENNESAW, GA 30144
Phone number: 770-966-0778
Mailing Address
SPECTRUM PEDIATRIC GRP
3104 CREEKSIDE VILLAGE DR SUITE 504
KENNESAW, GA 30144
Phone number: