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SUN PEDIATRICS LLC NPI 1841778081


NPI Information

NPI: 1841778081
Provider Name: SUN PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D2249191

Address:
2520 WINDY HILL RD SE STE 104
MARIETTA, GA
ZIP 30067
Phone: (678) 501-5601
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SUN PEDIATRICS LLC is a pediatrics in Marietta, 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. SUN PEDIATRICS LLC NPI is 1841778081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2520 WINDY HILL RD SE STE 104
MARIETTA, GA
ZIP 30067
Phone: (678) 501-5601
Fax: (678) 384-7163

The provider's authorized official is Meenakshi Hari .
The authorized official title is Physician and has the following contact phone number (620) 327-8985.

The CLIA number assigned to this NPI record is 11D2249191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 7/31/2018.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003135564AMEDICAIDGEORGIA

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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