NPI 1467710715
Norcross Pediatrics and Adolescent Medicine, INC
Practice location
- Address
- 1235 Indian Trail Rd Suite 106, Norcross, GA 30093-4502
- Phone
- (770) 923-6400
- Fax
- (770) 564-1697
- Mailing address
- PO Box 4048, Macon, GA 31208-4048
Authorised official
- Name
- George Katsitadze
- Title
- Owner
- Phone
- (770) 923-6400
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1467710715
- Entity type
- Organization
- NPI issued
- 24 Apr 2012
- Record last updated
- 24 Apr 2012
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.