Dv Pediatrics Llc | |
2920 Marietta Hwy Suite 142 Canton GA 30114-8212 | |
(770) 704-0057 | |
(770) 704-0223 |
Full Name | Dv Pediatrics Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2920 Marietta Hwy, Canton, Georgia |
Authorized Official Name and Position | Vicki D Knight-mathis (OWNER) |
Authorized Official Contact | 7707040057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dv Pediatrics Llc 2920 Marietta Hwy Suite 142 Canton GA 30114-8212 Ph: (770) 704-0057 | Dv Pediatrics Llc 2920 Marietta Hwy Suite 142 Canton GA 30114-8212 Ph: (770) 704-0057 |
NPI Number | 1346368149 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346368149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 047337 (Georgia) | Primary |
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