PEDIATRIC ASSOCIATES OF LAWRENCEVILLE LLC NPI 1770601593

NPI Information

PEDIATRIC ASSOCIATES OF LAWRENCEVILLE LLC is an adolescent medicine pediatrics in Lawrenceville, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC ASSOCIATES OF LAWRENCEVILLE LLC NPI is 1770601593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

755 OLD NORCROSS RD SUITE 100
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 277-6725
Fax: (770) 277-9169

The provider's authorized official is Anuradha N Sheth .
The authorized official title is Owner and has the following contact phone number (770) 277-6725.

The CLIA number assigned to this NPI record is 11D0953753 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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