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KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA P.C. NPI 1164432100


NPI Information

NPI: 1164432100
Provider Name: KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1462 MONTREAL RD
STE 212
TUCKER, GA
ZIP 30084
Phone: (404) 875-4261
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KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C. is a pediatrics in Tucker, 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 & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C. NPI is 1164432100. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1462 MONTREAL RD
STE 212
TUCKER, GA
ZIP 30084-929
Phone: (404) 875-4261
Fax: (770) 939-7750

The provider's authorized official is Byron Cedric Cotton .
The authorized official title is Owner/physician and has the following contact phone number (404) 875-4261.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/21/2022.


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
1208000000XPediatrics041098GEORGIAYes
22080A0000XPediatricsAdolescent Medicine041098GEORGIAX

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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