Organization · Type 2 NPI
Children's Medical Center, P.a.
Primary Care Clinic/Center · Austell, GA
NPI number
1821114000
Active
Practice location
1676 Mulkey Rd Ste C
Austell, GA 30106-1172
Fax (770) 944-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 2005-7681 (GA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1821114000
Children's Medical Center, P.a.'s National Provider Identifier is 1821114000, issued on Mar 21, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Austell, GA. The record was last updated on Aug 22, 2020.