LOCUST GROVE PEDIATRICS is a pediatrics in Locust Grove, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LOCUST GROVE PEDIATRICS NPI is 1174693519. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5040 BILL GARDNER PKWY
SUITE 100
LOCUST GROVE, GA
ZIP 30248-645
Phone: (678) 583-5437
Fax: (678) 583-5484
The provider's authorized official is John Mynatt .
The authorized official title is Owner and has the following contact phone number (678) 583-5437.
The CLIA number assigned to this NPI record is 11D1031340 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 11/9/2006 and was last updated on 9/10/2007.