| Med-surg Providers At Children's Llc | |
|
1575 Northeast Expy Ne Brookhaven GA 30329-2401 | |
| (404) 785-7876 | |
| Not Available |
| Full Name | Med-surg Providers At Children's Llc |
|---|---|
| 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 |
|---|---|
| Med-surg Providers At Children's Llc 1575 Northeast Expy Ne Brookhaven GA 30329-2401 Ph: (404) 785-7876 | Med-surg Providers At Children's Llc 1575 Northeast Expy Ne Brookhaven GA 30329-2401 Ph: (404) 785-7876 |
| NPI Number | 1770949497 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770949497 | NPI | - | NPPES |
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