Kids Avenue Pediatrics LLC
Pediatrics in College Park, GA. Organization (NPI-2).
NPI number1326388752
StatusActive
Last updated in NPPESFeb 21, 2013
Details
- NPI
- 1326388752
- Entity type
- Organization (NPI-2)
- Legal business name
- Kids Avenue Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2013
- Last updated
- Feb 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 027036 | GA | Yes |
Practice location
1720 Phoenix BlvdCollege Park, GA 30349-5594
Phone 770-909-8007 · Fax 770-909-8005
Mailing address
1720 Phoenix BlvdCollege Park, GA 30349-5594
Phone 770-909-8007 · Fax 770-909-8005
Authorized official
Gertrude Brown Arrington
Medical Doctor
7709098007
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Other Pediatrics Physician providers in College Park, GA
- Gertrude Brown Arrington, MDNPI 1487697124
- Helena K Bentley, M.D.NPI 1881632644
- Kidcare PediatricsNPI 1871689265
- Kids Avenue Pediatrics LLCNPI 1801057609
- Jonathan LouisNPI 1801751383
- Roslyn Payne-Pamphile, M.DNPI 1033251541
- Jamika Warren Trawick, M.D.NPI 1477578375
All 8 Pediatrics Physician providers in College Park · All 586 providers in College Park
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