UNITED PEDIATRICS PC NPI 1003119934

NPI Information

  • NPI: 1003119934
  • Provider Name: UNITED PEDIATRICS PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 11D1007950
  • Address: 4775 JIMMY CARTER BLVD
    SUITE 102
    NORCROSS, GA
    ZIP 30093
  • Phone: (770) 717-0033

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NPI Details

UNITED PEDIATRICS PC is a pediatrics in Norcross, 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. UNITED PEDIATRICS PC NPI is 1003119934. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4775 JIMMY CARTER BLVD
SUITE 102
NORCROSS, GA
ZIP 30093-760
Phone: (770) 717-0033
Fax: (770) 717-0028

The provider's authorized official is Tayaba Fatema .
The authorized official title is Owner and has the following contact phone number (770) 717-0033.

The CLIA number assigned to this NPI record is 11D1007950 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/15/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics045783GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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