| 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 |
|---|---|
| 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 |
|---|---|
| Specialty Providers At Children's 1584 Tullie Cir Ne 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 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346606076 | NPI | - | NPPES |
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