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PEDIATRIC ADOLESCENT SURGICAN ASSOCIATES P.C. NPI 1164499869


NPI Information

NPI: 1164499869
Provider Name: PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5455 MERIDIAN MARKS RD NE
SUITE 570
ATLANTA, GA
ZIP 30342
Phone: (404) 252-3353
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PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C. is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C. NPI is 1164499869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5455 MERIDIAN MARKS RD NE
SUITE 570
ATLANTA, GA
ZIP 30342-654
Phone: (404) 252-3353
Fax: (404) 252-0645

The provider's authorized official is Jean Christian .
The authorized official title is Practice Administrator and has the following contact phone number (404) 601-7290.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNOT APPLICABLEGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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