| NPI | 1881138279 |
|---|---|
| Doing Business As | LAKE LANIER PEDIATRICS |
| Doing Business As | SUWANAHOOCHEE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JANA RENEE HIMMELBAUM Owner 678-765-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 75152) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2025-03-07 |