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1659580215
SOUTHSIDE PEDIATRICS
STOCKBRIDGE, GA
NPI
1659580215
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Entity Type
Organization
Authorized Contact
RAVI S IYER
President
678-565-3300
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 042292)
Enumeration Date
2007-05-21
Last Update Date
2010-10-14
Business Address
SOUTHSIDE PEDIATRICS
151 NORTH PARK TRAIL SUITE A
STOCKBRIDGE, GA 30281-7373
Phone number: 678-565-3300
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Mailing Address
SOUTHSIDE PEDIATRICS
151 NORTH PARK TRAIL SUITE A
STOCKBRIDGE, GA 30281-7373
Phone number: 678-565-3300
Copy
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