Children's Medical Associates, Llc

NPI 1184908188 - Pediatrics - 208000000X

NPI Details
NPI 1184908188
Enumeration Date 10/10/2011
Last Updated 10/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SHELLY-ANN MICHELA SHELLY-ANN
Position OWNER/ PEDIATRICIAN
Phone (770) 941-5107
Fax (770) 944-1013
Practice Location
1680 MULKEY RD
SUITE E
AUSTELL GA, 30106-1118, US
Phone (770) 941-5107
Fax (770) 944-1013
Business Location
1680 MULKEY RD
SUITE E
AUSTELL GA, 30106-1118, US
Phone (770) 941-5107
Fax (770) 944-1013
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 057184
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According to our database, Children's Medical Associates, Llc NPI is 1184908188, taxonomy code is 208000000X and license number is 057184, license state is located at Georgia. Children's Medical Associates, Llc physically located at 1680 Mulkey Rd, Austell GA, 30106-1118. NPI Number 1033115704 has the healthcare provider type.

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1184908188 NPI number is provided on an as is basis without warranty of any kind. 1184908188 is maintained by the National Plan & Provider Enumeration System. The contents of Children's Medical Associates, Llc are for informational purposes only.