Organization · Type 2 NPI
Kids Doc Pediatrics
Primary Care Clinic/Center · Lilburn, GA
NPI number
1932374618
Active
Practice location
3100 Five Forks Trickum Rd SW Ste 204
Lilburn, GA 30047-1887
Fax (770) 978-7822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 043638 (GA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1932374618
Kids Doc Pediatrics's National Provider Identifier is 1932374618, issued on Apr 24, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lilburn, GA. The record was last updated on Apr 24, 2008.