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1558415232
EGLESTON PEDATRIC GROUP
DULUTH, GA
NPI
1558415232
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Entity Type
Organization
Authorized Contact
LOUETTA CODY
Manager, Provider Enrollment
404-785-7876
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-01-22
Last Update Date
2023-04-03
Business Address
EGLESTON PEDATRIC GROUP
2620 SATELLITE BLVD
DULUTH, GA 30096-1204
Phone number: 404-785-8000
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Mailing Address
EGLESTON PEDATRIC GROUP
1584 TULLIE CIR NE
ATLANTA, GA 30329-2311
Phone number: 404-785-7928
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