Loganville Pediatrics & Adolescent Care Associates
Loganville Pediatrics & Adolescent Care Associates provides Pediatric Adolescent Medicine Physician services in Loganville, Georgia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3815 Harrison RdLoganville, GA 30052-2462
Phone: (770) 466-6112
Fax: (770) 466-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1053325027 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ann Tullis — Office Manager · (770) 466-6112 |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 22, 2024 |
| Mailing address | 3815 Harrison Rd, Loganville, GA 30052-2462 |