NPI 1174837298

Green Willow Pediatrics

Organisation Pediatrics Physician Gainesville, GA

Practice location

Address: 3030 McEver Rd Building 1, Suite 130, Gainesville, GA 30504-5579
Phone: (678) 450-0747
Fax: (678) 450-0779

Authorised official

Name: Seema Bisht-Nadler
Title: Owner
Phone: (678) 450-0747

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 046361 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1174837298
Entity type: Organization
NPI issued: 30 Jul 2010
Record last updated: 30 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.