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CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE NPI 1235161464


NPI Information

NPI: 1235161464
Provider Name: CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
895 CANTON RD NE BLDG 100
MARIETTA, GA
ZIP 30060
Phone: (404) 785-8220
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CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE is a clinic center in Marietta, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE NPI is 1235161464. The provider is registered as an organization entity type.

The provider's business location address is:

895 CANTON RD NE BLDG 100
MARIETTA, GA
ZIP 30060-935
Phone: (404) 785-8220
Fax: (404) 785-8257

The provider's authorized official is Janet Jung .
The authorized official title is Staff Pediatrican and has the following contact phone number (404) 785-8200.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/22/2020.


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
1261Q00000XClinic/Center040933GEORGIAYes

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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