| Excellent Pediatrics | |
|
333 Alcovy St Suite 5 Monroe GA 30655-2180 | |
| (678) 807-2230 | |
| Not Available |
| Full Name | Excellent Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 333 Alcovy St, Monroe, Georgia |
| Authorized Official Name and Position | Roger Morales (OWNER) |
| Authorized Official Contact | 6788072241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Pediatrics Po Box 747 Monroe GA 30655-0747 Ph: (678) 807-2230 | Excellent Pediatrics 333 Alcovy St Suite 5 Monroe GA 30655-2180 Ph: (678) 807-2230 |
| NPI Number | 1104141837 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104141837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 055771 (Georgia) | Primary |
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