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KIDS TIME PEDIATRICS OF GWINNETT LLC NPI 1144508862


NPI Information

NPI: 1144508862
Provider Name: KIDS TIME PEDIATRICS OF GWINNETT LLC

Doing Business As: KIDS TIME PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2695 SUGARLOAF PKWY
SUITE 200
LAWRENCEVILLE, GA
ZIP 30045
Phone: (404) 943-1979
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KIDS TIME PEDIATRICS OF GWINNETT LLC is a pediatrics in Lawrenceville, 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. KIDS TIME PEDIATRICS OF GWINNETT LLC NPI is 1144508862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kids Time Pediatrics.

The provider's business location address is:

2695 SUGARLOAF PKWY
SUITE 200
LAWRENCEVILLE, GA
ZIP 30045-456
Phone: (404) 943-1979

The provider's authorized official is Flynn Clyburn .
The authorized official title is Manager and has the following contact phone number (706) 342-2180.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 7/29/2011.


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
1208000000XPediatrics32201GEORGIAYes

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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