EAGLES LANDING PEDIATRIC ASSOCIATES LLC is a primary care clinic center in Stockbridge, GA. EAGLES LANDING PEDIATRIC ASSOCIATES LLC NPI is 1740407550. The provider is registered as an organization entity type.
The provider's business location address is:
1101 HOSPITAL DR
SUITE 210
STOCKBRIDGE, GA
ZIP 30281-075
Phone: (678) 289-0103
Fax: (678) 289-0171
The provider's authorized official is Steven Wayne Leard .
The authorized official title is Ownerphysician and has the following contact phone number (678) 289-0103.
The CLIA number assigned to this NPI record is 11D0960900 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.