Eagles Landing Pediatric Associates Llc | |
1101 Hospital Dr Suite 210 Stockbridge GA 30281-9075 | |
(678) 289-0103 | |
(678) 289-0171 |
Full Name | Eagles Landing Pediatric Associates Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1101 Hospital Dr, Stockbridge, Georgia |
Authorized Official Name and Position | Steven Wayne Leard (OWNERPHYSICIAN) |
Authorized Official Contact | 6782890103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eagles Landing Pediatric Associates Llc 1101 Hospital Dr Suite 210 Stockbridge GA 30281-9075 Ph: (678) 289-0103 | Eagles Landing Pediatric Associates Llc 1101 Hospital Dr Suite 210 Stockbridge GA 30281-9075 Ph: (678) 289-0103 |
NPI Number | 1740407550 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740407550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 040449 (Georgia) | Primary |
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