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BRIARVISTA PEDIATRICS NPI 1871027839


NPI Information

NPI: 1871027839
Provider Name: BRIARVISTA PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2134516

Address:
2244 HENDERSON MILL RD NE
SUITE G
ATLANTA, GA
ZIP 30345
Phone: (770) 239-2500
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BRIARVISTA PEDIATRICS is a primary care clinic center in Atlanta, GA. BRIARVISTA PEDIATRICS NPI is 1871027839. The provider is registered as an organization entity type.

The provider's business location address is:

2244 HENDERSON MILL RD NE
SUITE G
ATLANTA, GA
ZIP 30345-760
Phone: (770) 239-2500

The provider's authorized official is Eve Oster Wexler .
The authorized official title is Ceo and has the following contact phone number (646) 549-0000.

The CLIA number assigned to this NPI record is 11D2134516 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2017 and was last updated on 4/17/2017.


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
1261QP2300XClinic/CenterPrimary Care71300GEORGIAYes

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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