Affinity Pediatrics
Nursing Care in Mcdonough, GA. Organization (NPI-2).
NPI number1497375976
StatusActive
Last updated in NPPESApr 24, 2020
Details
- NPI
- 1497375976
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Pediatrics
- Organization subpart
- No
- Enumeration date
- Apr 24, 2020
- Certification date
- Apr 24, 2020
- Last updated
- Apr 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
Practice location
255 Racetrack Rd Ste 18Mcdonough, GA 30252-6834
Phone 678-223-3213
Mailing address
255 Racetrack Rd Ste 18Mcdonough, GA 30252-6834
Authorized official
Antonio Mellon
Owner/Administrator
6782233213
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