EGLESTON PEDATRIC GROUP

DULUTH, GA
NPI1558415232
Entity TypeOrganization
Authorized ContactLOUETTA CODY
Manager, Provider Enrollment
404-785-7876
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2007-01-22
Last Update Date2023-04-03
Business Address
EGLESTON PEDATRIC GROUP
2620 SATELLITE BLVD
DULUTH, GA 30096-1204
Phone number: 404-785-8000
Mailing Address
EGLESTON PEDATRIC GROUP
1584 TULLIE CIR NE
ATLANTA, GA 30329-2311
Phone number: 404-785-7928