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Wellstar Medical Group East Paulding Pediatrics
Specialist in Hiram, Georgia
NPI 1396738381

Wellstar Medical Group East Paulding Pediatrics is a Specialist based in Hiram, GA. Wellstar Medical Group East Paulding Pediatrics practices in Hiram, GA. The NPI Number for Wellstar Medical Group East Paulding Pediatrics is 1396738381 and holds a License No. 024912 (Georgia).

The current practice location address for Wellstar Medical Group East Paulding Pediatrics is 51 Hiram Dr, Hiram, GA and can be reached out via phone at 678-945-8300 and via fax at 770-445-2020.

Location: 51 Hiram Dr, Hiram, GA, 30141-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396738381
Provider Name
Wellstar Medical Group East Paulding Pediatrics
Credential
Provider Entity Type
Organization
Address
51 Hiram Dr, Hiram, GA, 30141-1844
Phone Number
678-945-8300
Fax Number
770-445-2020
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1420565 05 LA
1899964650A 05 GA
institution
Provider Business Practice Location Address Details
Address
51 Hiram Dr
City
Hiram
State
Georgia
Zip
30141-1844
Phone Number
678-945-8300
Fax Number
770-445-2020
person
Provider Business Mailing Address Details
Address
51 Hiram Dr
City
Hiram
State
Georgia
Zip
30141-1844
Phone Number
678-945-8300
Fax Number
770-445-2020
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
024912 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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