PEARL MEDICAL & ASSOCIATES LLC NPI 1871752410

NPI Information

NPI: 1871752410
Provider Name: PEARL MEDICAL & ASSOCIATES, LLC

Doing Business As: PEARL PEDIATRICS AND ADOLESCENT MEDCINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2550 WINDY HILL RD SE STE 109
MARIETTA, GA
ZIP 30067
Phone: (770) 952-7477
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PEARL MEDICAL & ASSOCIATES, LLC is a primary care clinic center in Marietta, GA. PEARL MEDICAL & ASSOCIATES, LLC NPI is 1871752410. The provider is registered as an organization entity type.
The provider Is Doing Business As Pearl Pediatrics And Adolescent Medcine.

The provider's business location address is:

2550 WINDY HILL RD SE STE 109
MARIETTA, GA
ZIP 30067-607
Phone: (770) 952-7477

The provider's authorized official is Angela M. Hall .
The authorized official title is Owner/pediatrician and has the following contact phone number (770) 952-7477.

The CLIA number assigned to this NPI record is 11D1072372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.

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
1	261QP2300X	Clinic/Center	Primary Care	052946	GEORGIA	Yes

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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