BUFORD PEDIATRICSLLC NPI 1740550896

NPI Information

  • NPI: 1740550896
  • Provider Name: BUFORD PEDIATRICS,LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D2028518
  • Address: 3700 RIDGE RD
    SUITE'B'
    BUFORD, GA
    ZIP 30519
  • Phone: (678) 804-9398

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NPI Details

BUFORD PEDIATRICS,LLC is a primary care clinic center in Buford, GA. BUFORD PEDIATRICS,LLC NPI is 1740550896. The provider is registered as an organization entity type.

The provider's business location address is:

3700 RIDGE RD
SUITE'B'
BUFORD, GA
ZIP 30519-035
Phone: (678) 804-9398
Fax: (678) 804-9415

The provider's authorized official is Nirmala Bharadwaj .
The authorized official title is Pediatrician, Owner and has the following contact phone number (678) 804-9398.

The CLIA number assigned to this NPI record is 11D2028518 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.

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
1261QP2300XClinic/CenterPrimary Care044838GEORGIAYes

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: 11/21/2025

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