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ABC PEDIATRICS NPI 1902923964


NPI Information

NPI: 1902923964
Provider Name: ABC PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0937556

Address:
735 GLYNN ST S
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 461-4126
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ABC PEDIATRICS is a pediatrics in Fayetteville, 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. ABC PEDIATRICS NPI is 1902923964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

735 GLYNN ST S
FAYETTEVILLE, GA
ZIP 30214-049
Phone: (770) 461-4126
Fax: (770) 461-8852

The provider's authorized official is Leslie Deanne Smoak .
The authorized official title is Physician Owner and has the following contact phone number (770) 461-4126.

The CLIA number assigned to this NPI record is 11D0937556 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 2/28/2024.


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
1208000000XPediatricsYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.