PEDIATRICS AT WHITLOCK P.C.
Ambulatory Health at Campbell Hill St, Marietta, GA

License number
Georgia 047011
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. LAWRENCE VINCENT POOLD
Title: OFFICE MANAGER
Phone: (770) 499-8909
Address
Address
611 Campbell Hill St NW STE 103, Marietta, GA 30060
National Provider ID: 1184891400
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRICS AT WHITLOCK, PC

Marietta, GA

Industry:
Medical Doctor's Office
Registration:
Jun 18, 2004
Phone:
(770) 499-8909 (Phone)
Addresses:
707 Whitlock Ave, Marietta, GA 30064 (Physical)
611 Campbell Hl St NW, Marietta, GA 30060
State ID:
0436940
Business type:
Domestic Professional Corporation
Licensed Practical Nurses:
V. Lawrence Poole (Secretary), 707 Whitlock Ave, Marietta, GA 30064 (Physical),L. Stephanie Poole (CEO), 707 Whitlock Ave, Marietta, GA 30064 (Physical),Stephanie Lynette Poole (Pediatrics, Medical Doctor),...
Agent:
Corporation Service Company,40 Technology Pkwy Southsuite 300, Norcross, GA (Physical)

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