| NPI | 1396905907 |
|---|---|
| Doing Business As | PRIMECARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | FRED A TEGA Chief Executive 770-251-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-02-09 |