SPECTRUM PEDIATRIC GRP is a medical specialty clinic center in Kennesaw, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SPECTRUM PEDIATRIC GRP NPI is 1154447043. The provider is registered as an organization entity type.
The provider's business location address is:
3104 CREEKSIDE VILLAGE DR
SUITE 504
KENNESAW, GA
ZIP 30144
Phone: (770) 966-0778
The provider's authorized official is Kola Ologunja .
The authorized official title is President and has the following contact phone number (770) 966-0778.
The CLIA number assigned to this NPI record is 11D1043994 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/22/2007 and was last updated on 5/19/2008.