Northside Pediatrics & Adolescent Medicine Pc

NPI 1417077884 - Pediatrics - 208000000X

NPI Details
NPI 1417077884
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICKI M VICKI
Position PRACTICE ADMINSTRATOR
Phone (404) 256-2688
Fax (404) 256-1820
Practice Location
1140 HAMMOND DRIVE
SUITE E5250
ATLANTA GA, 30328, US
Phone (404) 256-2688
Fax (404) 256-1820
Business Location
333 SANDY SPRINGS CIRCLE
SUITE 207
ATLANTA GA, 30328-3834, US
Phone (404) 705-8990
Fax (404) 705-9984
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Northside Pediatrics & Adolescent Medicine Pc NPI is 1417077884, taxonomy code is 208000000X Northside Pediatrics & Adolescent Medicine Pc physically located at 1140 Hammond Drive, Atlanta GA, 30328. NPI Number 1033115704 has the healthcare provider type.

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1417077884 NPI number is provided on an as is basis without warranty of any kind. 1417077884 is maintained by the National Plan & Provider Enumeration System. The contents of Northside Pediatrics & Adolescent Medicine Pc are for informational purposes only.