Total Grace Pediatrics PC
Total Grace Pediatrics PC is a Pediatric Adolescent Medicine Physician in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
900 N Hairston Rd # RS Ste AStone Mountain, GA 30083-2857
Phone: (404) 292-8103
Fax: (404) 292-8105
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence 052162 (GA) |
|---|
Record details
| NPI number | 1396929444 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bashiru Dawodu — Physician · (404) 292-8103 |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | December 26, 2007 |
| Mailing address | 900 N Hairston Rd # Rs, Suite A, Stone Mountain, GA 30083-2857 |
Other providers in Stone Mountain
-
MS. Anne Michele Benford, NP
2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 · (770) 771-5222
-
Dr. Edward Marvin Gotlieb, MD
5405 Memorial Dr Bldg D, Stone Mountain, GA 30083-3234 · (404) 296-3800