Organization · Type 2 NPI
Pediatric Clinic, PC
Primary Care Clinic/Center · Riverdale, GA
NPI number
1902200447
Active
Practice location
189 Medical Way, Suite C
Riverdale, GA 30274-4905
Fax (770) 991-8917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 20280 (GA) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Riverdale
About NPI 1902200447
Pediatric Clinic, PC's National Provider Identifier is 1902200447, issued on Oct 13, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Riverdale, GA. The record was last updated on Oct 13, 2014.