Organization · Type 2 NPI

Scottish Rite Children's Medical Center

Pediatric Hematology & Oncology Physician · Atlanta, GA

NPI number 1184779332 Active

Practice location

1001 Johnson Ferry Rd NE
Atlanta, GA 30342-1605

Call (404) 785-5252 Map

Mailing address

1575 Northeast Expy NE
Brookhaven, GA 30329-2401

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
Dentist 122300000XNone listed
Pediatric Dentistry 1223P0221XNone listed
Pediatric Pathology Physician 207ZP0213XNone listed
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XNone listed
Pediatric Hematology & Oncology Physician Primary 2080P0207XNone listed
Pediatric Rehabilitation Medicine Physician 2081P0010XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Hospitalist Physician 208M00000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

74 other providers at this address

About NPI 1184779332

Scottish Rite Children's Medical Center's National Provider Identifier is 1184779332, issued on Jan 25, 2007. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Atlanta, GA. The record was last updated on Oct 17, 2025.