IMAGIX LEGACY PEDIATRICS LLC

KENNESAW, GA
NPI1295109015
Entity TypeOrganization
Authorized ContactCRYSTAL CHOUINARD
Credentialing Specialist
941-955-3150
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
IMAGIX LEGACY PEDIATRICS LLC
3903 JILES RD NW 210
KENNESAW, GA 30144-4612
Phone number: 770-590-9050
Mailing Address
IMAGIX LEGACY PEDIATRICS LLC
3903 JILES RD NW 210
KENNESAW, GA 30144-4612
Phone number: 770-590-9050
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