| NPI | 1992824205 |
|---|---|
| Doing Business As | CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GARY MICHAEL BILLINGSLEY Owner 706-868-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-05-28 |