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PRESTON RIDGE PEDIATRIC ASSOCIATES PC NPI 1427048685


NPI Information

NPI: 1427048685
Provider Name: PRESTON RIDGE PEDIATRIC ASSOCIATES, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0903572

Address:
3400 OLD MILTON PKWY
SUITE 330
ALPHARETTA, GA
ZIP 30005
Phone: (770) 751-6111
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PRESTON RIDGE PEDIATRIC ASSOCIATES, PC is a pediatrics in Alpharetta, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PRESTON RIDGE PEDIATRIC ASSOCIATES, PC NPI is 1427048685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 OLD MILTON PKWY
SUITE 330
ALPHARETTA, GA
ZIP 30005-707
Phone: (770) 751-6111
Fax: (770) 772-6099

The provider's authorized official is Michael R Papciak .
The authorized official title is President and has the following contact phone number (770) 751-6111.

The CLIA number assigned to this NPI record is 11D0903572 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/27/2005 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
1208000000XPediatricsYes

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: 11/14/2023

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