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1215280177
PEACH STATE PEDIATRICS
SMYRNA, GA
NPI
1215280177
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Entity Type
Organization
Authorized Contact
MOHAMMED WARIS
Owner
850-270-9249
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 62300)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
PEACH STATE PEDIATRICS
3001 S COBB DR SE SUITE 107
SMYRNA, GA 30080-7874
Phone number: 850-875-3600
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Mailing Address
PEACH STATE PEDIATRICS
3001 S COBB DR SE SUITE 107
SMYRNA, GA 30080-7874
Phone number:
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