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PIEDMONT PEDIATRIC PHYSICIANS LLC NPI 1447315742


NPI Information

NPI: 1447315742
Provider Name: PIEDMONT PEDIATRIC PHYSICIANS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0704375

Address:
189 JEFFERSON PKWY
NEWNAN, GA
ZIP 30263
Phone: (770) 801-2500
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PIEDMONT PEDIATRIC PHYSICIANS LLC is a pediatrics in Newnan, 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. PIEDMONT PEDIATRIC PHYSICIANS LLC NPI is 1447315742. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

189 JEFFERSON PKWY
NEWNAN, GA
ZIP 30263-823
Phone: (770) 801-2500
Fax: (770) 803-2121

The provider's authorized official is Christy Aquino .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (470) 271-3427.

The CLIA number assigned to this NPI record is 11D0704375 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/10/2021.


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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