Grayson Pediatrics Mobile

Pediatrics Physician · Loganville, GA

Organization Active NPI

NPI number 1649880667

Practice location

297 Cooper Rd Ste B
Loganville, GA 30052-2518
Phone
(888) 778-2429
Fax
(470) 410-8905

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NPI record

NPI
1649880667
Entity type
Organization (Type 2)
Enumeration date
August 4, 2020
Last updated
August 4, 2020
Certified
August 4, 2020
Organization subpart
Yes
Parent organization
Grayson Pediatrics, LLC

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Authorized official

Name
Julie A Opeka, CPNP
Title
Co-Founder, Co-Owner, CPNP
Phone
(888) 778-2429

About Grayson Pediatrics Mobile

Grayson Pediatrics Mobile is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 297 Cooper Rd Ste B, Loganville, GA 30052-2518. The NPI number 1649880667 was assigned on August 4, 2020 and the record was last updated on August 4, 2020.

The authorized official for this organization is Julie A Opeka, CPNP, Co-Founder, Co-Owner, CPNP.

Frequently asked questions

What is the NPI number of Grayson Pediatrics Mobile?

The NPI number is 1649880667.

What is the phone number of Grayson Pediatrics Mobile?

The phone number listed for the practice location is (888) 778-2429.

Where is Grayson Pediatrics Mobile located?

297 Cooper Rd Ste B, Loganville, GA 30052-2518.

What is the taxonomy code for Grayson Pediatrics Mobile?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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