Decatur Pediatric Group, Pa
Pediatrics
Decatur Pediatric Group, Pa is a Clarkston, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
4112 E Ponce De Leon Ave, Clarkston, Georgia - 30021-1817. They can be contacted on phone at
404-296-7133 and fax number 404-296-7211.
NPI number (Unique professional ID) for Decatur Pediatric Group, Pa is
1619029592 which was assigned by NPPES on 18 Jan, 2007 and it was last updated on 22 Aug, 2020.
Decatur Pediatric Group, Pa license number is
038132 for Pediatrics (208000000X) in Georgia.
Decatur Pediatric Group, Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Decatur Pediatric Group, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Decatur Pediatric Group, Pa |
|---|
Business Address:
Decatur Pediatric Group, Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4112 E Ponce De Leon Ave
Clarkston, GA, 30021-1817
United States |
|---|
| Phone Number : | 404-296-7133 |
|---|
| Fax Number : | 404-296-7211 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619029592 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Jan, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lynetter Wilson-phillips |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 404-296-7133 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Decatur Pediatric Group, Pa are as mentioned. Primary taxonomy code for Decatur Pediatric Group, Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 038132 | GA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4112 E Ponce De Leon Ave
Clarkston, GA, 30021-1817
United States |
|---|
| Phone Number : | 404-296-7133 |
|---|
| Fax Number : | 404-296-7211 |
|---|
Business Location:
Patients can refer following map for directions to
Decatur Pediatric Group, Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.