PEDIATRIC PHYSICIANS P.C. NPI 1285768184

NPI Information

NPI: 1285768184
Provider Name: PEDIATRIC PHYSICIANS, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D1025627

Address:
11050 CRABAPPLE RD
SUITE 120
ROSWELL, GA
ZIP 30075
Phone: (770) 518-9277
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PEDIATRIC PHYSICIANS, P.C. is a primary care clinic center in Roswell, GA. PEDIATRIC PHYSICIANS, P.C. NPI is 1285768184. The provider is registered as an organization entity type.

The provider's business location address is:

11050 CRABAPPLE RD
SUITE 120
ROSWELL, GA
ZIP 30075-489
Phone: (770) 518-9277
Fax: (770) 518-8718

The provider's authorized official is Jose De Urioste .
The authorized official title is Business Manager and has the following contact phone number (770) 518-9277.

The CLIA number assigned to this NPI record is 11D1025627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 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

NPI Synchronization or Removal

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