Organization · Type 2 NPI
Spectrum Pediatric GRP
Medical Specialty Clinic/Center · Kennesaw, GA
Practice location
3104 Creekside Village Dr, Suite 504
Kennesaw, GA 30144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 050548 (GA) |
Medical Specialty Clinic/Center: 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).
Other medical specialty clinic/center providers in Kennesaw
About NPI 1154447043
Spectrum Pediatric GRP's National Provider Identifier is 1154447043, issued on Mar 22, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Kennesaw, GA. The record was last updated on May 19, 2008.