SUGARLOAF PEDIATRICS PC NPI 1134297799

NPI Information

NPI: 1134297799
Provider Name: SUGARLOAF PEDIATRICS, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D0989925

Address:
3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA
ZIP 30044
Phone: (678) 377-1113
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SUGARLOAF PEDIATRICS, PC is a primary care clinic center in Lawrenceville, GA. SUGARLOAF PEDIATRICS, PC NPI is 1134297799. The provider is registered as an organization entity type.

The provider's business location address is:

3525 SUGARLOAF PKWY
LAWRENCEVILLE, GA
ZIP 30044-403
Phone: (678) 377-1113
Fax: (678) 377-9390

The provider's authorized official is Mathen Mathew .
The authorized official title is Office Manager and has the following contact phone number (678) 377-1113.

The CLIA number assigned to this NPI record is 11D0989925 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.

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			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: 5/5/2024

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