Vibrant Kids Pediatrics, Llc

NPI 1811241417 - Clinic/Center - 261Q00000X

NPI Details
NPI 1811241417
Enumeration Date 11/04/2012
Last Updated 11/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JILL BURNETT JILL
Position MANAGER
Phone (678) 423-5560
Fax (678) 423-5563
Practice Location
10 MARKET SQUARE WAY STE 100
NEWNAN GA, 30265-6078, US
Phone (678) 423-5560
Fax (678) 423-5563
Business Location
87 TAPESTRY LN
NEWNAN GA, 30265-5649, US
Phone (678) 423-5560
Fax (678) 423-5563
Toxanomy
Taxonomy Code 261Q00000X
License State Georgia
License Number 061061
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According to our database, Vibrant Kids Pediatrics, Llc NPI is 1811241417, taxonomy code is 261Q00000X and license number is 061061, license state is located at Georgia. Vibrant Kids Pediatrics, Llc physically located at 10 Market Square Way Ste 100, Newnan GA, 30265-6078. NPI Number 1033115704 has the healthcare provider type.

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1811241417 NPI number is provided on an as is basis without warranty of any kind. 1811241417 is maintained by the National Plan & Provider Enumeration System. The contents of Vibrant Kids Pediatrics, Llc are for informational purposes only.