Alliance Pediatric Providers LLC
Nursing Care in Mcdonough, GA. Organization (NPI-2).
NPI number1346738457
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1346738457
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Pediatric Providers LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2018
- Last updated
- Aug 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | 075-R-1954 | GA | Yes |
| 253Z00000X | In Home Supportive Care | 075-R-1954 | GA |
Practice location
115 Westridge Industrial BlvdSte 380
Mcdonough, GA 30253-4214
Phone 770-389-1525 · Fax 470-300-3550
Mailing address
115 Westridge Industrial Blvd Ste 380Mcdonough, GA 30253-4214
Phone 770-389-1525 · Fax 470-300-3550
Authorized official
Karen Lynne Pitman
Rn, Director Of Operations
7703891525
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