| Pediatrics At Whitlock P.c. | |
|
611 Campbell Hill St Nw Ste 103 Marietta GA 30060-1386 | |
| (770) 499-8909 | |
| (770) 499-8911 |
| Full Name | Pediatrics At Whitlock P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 611 Campbell Hill St Nw Ste 103, Marietta, Georgia |
| Authorized Official Name and Position | Lawrence Vincent Poold (OFFICE MANAGER) |
| Authorized Official Contact | 7704998909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics At Whitlock P.c. 611 Campbell Hill St Nw Ste 103 Marietta GA 30060-1386 Ph: (770) 499-8909 | Pediatrics At Whitlock P.c. 611 Campbell Hill St Nw Ste 103 Marietta GA 30060-1386 Ph: (770) 499-8909 |
| NPI Number | 1184891400 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184891400 | NPI | - | NPPES |
| 1003983693 | Other | GA | DR. STEPHANIE L. POOLE'S NPI |
| 000949044D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 047011 (Georgia) | Primary |
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