| Valentine Pediatric Group, Llc | |
|
2680 Lawrenceville Hwy Ste 100 Decatur GA 30033-2526 | |
| (770) 285-7632 | |
| Not Available |
| Full Name | Valentine Pediatric Group, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2680 Lawrenceville Hwy Ste 100, Decatur, Georgia |
| Authorized Official Name and Position | Jenna Slaughter Davis (CEO) |
| Authorized Official Contact | 2482400988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentine Pediatric Group, Llc 2680 Lawrenceville Hwy Ste 100 Decatur GA 30033-2526 Ph: (770) 515-9898 | Valentine Pediatric Group, Llc 2680 Lawrenceville Hwy Ste 100 Decatur GA 30033-2526 Ph: (770) 285-7632 |
| NPI Number | 1154904878 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154904878 | NPI | - | NPPES |
| 80692 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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