THE CHILDREN'S & ADOLESCENT MEDICAL CENTER PC NPI 1225096837

NPI Information

NPI: 1225096837
Provider Name: THE CHILDREN'S & ADOLESCENT MEDICAL CENTER PC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
4905 COURTNEY DR
FOREST PARK, GA
ZIP 30297
Phone: (404) 366-3636
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THE CHILDREN'S & ADOLESCENT MEDICAL CENTER PC is an adolescent medicine pediatrics in Forest Park, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. THE CHILDREN'S & ADOLESCENT MEDICAL CENTER PC NPI is 1225096837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4905 COURTNEY DR
FOREST PARK, GA
ZIP 30297-427
Phone: (404) 366-3636
Fax: (404) 362-0808

The provider's authorized official is Marion M Mccellan .
The authorized official title is Owner and has the following contact phone number (404) 366-3636.

The enumeration date for this NPI number is 5/3/2006 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	2080A0000X	Pediatrics	Adolescent Medicine	008497	GEORGIA	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

NPI Synchronization or Removal

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