IMPACT PHYSICIAN GROUP, PEDIATRICS LLC

LAKE CHARLES, LA
NPI1689290603
Entity TypeOrganization
Authorized ContactPAUL MILLER
CEO
678-967-5599
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-06-25
Last Update Date2022-03-15
Business Address
IMPACT PHYSICIAN GROUP, PEDIATRICS LLC
2720 RUE DE JARDIN STE 100
LAKE CHARLES, LA 70605-4050
Phone number: 260-407-8009
Mailing Address
IMPACT PHYSICIAN GROUP, PEDIATRICS LLC
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269-1546
Phone number: 678-967-5599
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