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1396738381
WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
HIRAM, GA
NPI
1396738381
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Entity Type
Organization
Authorized Contact
KELLY DAVILLIER
Physician
678-945-8320
Organization Subpart ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 024912)
Enumeration Date
2005-08-25
Last Update Date
2011-12-08
Business Address
WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
51 HIRAM DR
HIRAM, GA 30141-1844
Phone number: 678-945-8300
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Mailing Address
WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
51 HIRAM DR
HIRAM, GA 30141-1844
Phone number: 678-945-8300
Copy
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