Organization · Type 2 NPI
Vibrant Kids Pediatrics, LLC
Clinic/Center · Newnan, GA
NPI number
1811241417
Active
Practice location
10 Market Square Way Ste 100
Newnan, GA 30265-6078
Fax (678) 423-5563
Mailing address
87 Tapestry Ln
Newnan, GA 30265-5649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 061061 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1811241417
Vibrant Kids Pediatrics, LLC's National Provider Identifier is 1811241417, issued on Nov 4, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Newnan, GA. The record was last updated on Nov 4, 2012.