| Stay Well Pediatrics Llc | |
|
5139 Jimmy Carter Blvd Suite # 205 Norcross GA 30093-1680 | |
| (678) 248-2350 | |
| (678) 404-8435 |
| Full Name | Stay Well Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5139 Jimmy Carter Blvd, Norcross, Georgia |
| Authorized Official Name and Position | Neha Soni (OWNER) |
| Authorized Official Contact | 6782482350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stay Well Pediatrics Llc 5139 Jimmy Carter Blvd Suite # 205 Norcross GA 30093-1680 Ph: (678) 248-2350 | Stay Well Pediatrics Llc 5139 Jimmy Carter Blvd Suite # 205 Norcross GA 30093-1680 Ph: (678) 248-2350 |
| NPI Number | 1669756292 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669756292 | NPI | - | NPPES |
| 328093387A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 060096 (Georgia) | Primary |
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