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EGLESTON PEDATRIC GROUP NPI 1558415232


NPI Information

NPI: 1558415232
Provider Name: EGLESTON PEDATRIC GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2620 SATELLITE BLVD
DULUTH, GA
ZIP 30096
Phone: (404) 785-8000
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EGLESTON PEDATRIC GROUP is a pediatrics in Duluth, 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. EGLESTON PEDATRIC GROUP NPI is 1558415232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2620 SATELLITE BLVD
DULUTH, GA
ZIP 30096-204
Phone: (404) 785-8000

The provider's authorized official is Louetta Cody .
The authorized official title is Manager, Provider Enrollment and has the following contact phone number (404) 785-7876.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/3/2023.


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
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: 5/5/2024

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