| Stonecrest Pediatric & Adult Medicine, Inc, | |
|
8225 Mall Pkwy Suite 250 Lithonia GA 30038-6994 | |
| (404) 297-1818 | |
| (404) 297-1629 |
| Full Name | Stonecrest Pediatric & Adult Medicine, Inc, |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8225 Mall Pkwy, Lithonia, Georgia |
| Authorized Official Name and Position | Earl Pitter (BUSINESS MANAGER) |
| Authorized Official Contact | 4042971818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonecrest Pediatric & Adult Medicine, Inc, 8225 Mall Pkwy Suite 250 Lithonia GA 30038-6994 Ph: (404) 298-1818 | Stonecrest Pediatric & Adult Medicine, Inc, 8225 Mall Pkwy Suite 250 Lithonia GA 30038-6994 Ph: (404) 297-1818 |
| NPI Number | 1043574700 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043574700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Georgia) | Primary |
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