Locust Grove Pediatrics
Locust Grove Pediatrics is a Pediatrics Physician in Locust Grove, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
5040 Bill Gardner Pkwy Ste 100Locust Grove, GA 30248-3645
Phone: (678) 583-5437
Fax: (678) 583-5484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 041469 (GA) |
|---|
Record details
| NPI number | 1174693519 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Mynatt — Owner · (678) 583-5437 |
| NPI enumerated | November 9, 2006 |
| Last updated in NPPES | September 10, 2007 |
| Mailing address | 5040 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3645 |
Other providers in Locust Grove
-
Correctmed Scott, LLC
4861 Bill Gardner Pkwy Ste 100, Locust Grove, GA 30248-3644 · (770) 626-5580
-
John F Mynatt Jr., MD
5040 Bill Gardner Pkwy Ste 100, Locust Grove, GA 30248-3645 · (678) 583-5437