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SUNRISE PEDIATRIC NEUROLOGY NPI 1841732138


NPI Information

NPI: 1841732138
Provider Name: SUNRISE PEDIATRIC NEUROLOGY
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
3417 CANTON RD
BUILDING1
MARIETTA, GA
ZIP 30066
Phone: (678) 606-5700
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SUNRISE PEDIATRIC NEUROLOGY is a child and adolescent psychiatry psychiatry neurology in Marietta, GA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SUNRISE PEDIATRIC NEUROLOGY NPI is 1841732138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3417 CANTON RD
BUILDING1
MARIETTA, GA
ZIP 30066-896
Phone: (678) 606-5700

The provider's authorized official is Cherise Frazier .
The authorized official title is Owner and has the following contact phone number (678) 606-5700.

The enumeration date for this NPI number is 11/17/2016 and was last updated on 11/17/2016.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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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