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INTOWN PEDIATRIC AND ADOLESCENT MEDICINE NPI 1457375073


NPI Information

NPI: 1457375073
Provider Name: INTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D2133990

Address:
490 BILL KENNEDY WAY SE
SUITE 101
ATLANTA, GA
ZIP 30316
Phone: (404) 446-4726
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INTOWN PEDIATRIC AND ADOLESCENT MEDICINE is a pediatrics in Atlanta, 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. INTOWN PEDIATRIC AND ADOLESCENT MEDICINE NPI is 1457375073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

490 BILL KENNEDY WAY SE
SUITE 101
ATLANTA, GA
ZIP 30316-835
Phone: (404) 446-4726
Fax: (404) 446-4727

The provider's authorized official is Deneta H Sells .
The authorized official title is President and has the following contact phone number (404) 446-4726.

The CLIA number assigned to this NPI record is 11D2133990 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 11/22/2011.


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
1208000000XPediatrics058200GEORGIAYes

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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