Specialty Providers At Children's | |
1575 Northeast Expy Ne Brookhaven GA 30329-2401 | |
(404) 785-7876 | |
Not Available |
Full Name | Specialty Providers At Children's |
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Speciality | Pediatrics |
Location | 1575 Northeast Expy Ne, Brookhaven, Georgia |
Authorized Official Name and Position | Louetta Cody (MGR, PROVIDER ENROLLMENT) |
Authorized Official Contact | 4047857876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Specialty Providers At Children's 1575 Ne Expressway Atlanta GA 30329-2311 Ph: () - | Specialty Providers At Children's 1575 Northeast Expy Ne Brookhaven GA 30329-2401 Ph: (404) 785-7876 |
NPI Number | 1346606076 |
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Provider Enumeration Date | 01/11/2016 |
Last Update Date | 01/16/2025 |
Identifier | Type | State | Issuer |
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1346606076 | NPI | - | NPPES |
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