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MCDONOUGH PEDIATRICS NPI 1669668125


NPI Information

NPI: 1669668125
Provider Name: MCDONOUGH PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0710697

Address:
101 REGENCY PARK DR
STE 140
MCDONOUGH, GA
ZIP 30253
Phone: (770) 957-8626
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MCDONOUGH PEDIATRICS is a pediatrics in Mcdonough, 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. MCDONOUGH PEDIATRICS NPI is 1669668125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 REGENCY PARK DR
STE 140
MCDONOUGH, GA
ZIP 30253-080
Phone: (770) 957-8626

The provider's authorized official is Sekhar C Sankaran .
The authorized official title is Physican and has the following contact phone number (770) 957-8626.

The CLIA number assigned to this NPI record is 11D0710697 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.


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
1208000000XPediatrics031549GEORGIAYes

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: 5/5/2024

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