Graham Pediatrics Of Woodstock Llc
Pediatrics
Graham Pediatrics Of Woodstock Llc is a Woodstock, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
105 Mirramont Lake Dr, Woodstock, Georgia - 30189-8214. They can be contacted on phone at
770-485-9670.
NPI number (Unique professional ID) for Graham Pediatrics Of Woodstock Llc is
1316485717 which was assigned by NPPES on 06 Feb, 2017 and it was last updated on 06 Feb, 2017.
Graham Pediatrics Of Woodstock Llc license number is
48780 for Pediatrics (208000000X) in Georgia.
Graham Pediatrics Of Woodstock Llc 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:
Graham Pediatrics Of Woodstock Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Graham Pediatrics Of Woodstock Llc |
|---|
Business Address:
Graham Pediatrics Of Woodstock Llc 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 : | 105 Mirramont Lake Dr
Woodstock, GA, 30189-8214
United States |
|---|
| Phone Number : | 770-485-9670 |
|---|
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 : | 1316485717 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Feb, 2017 |
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| Last Updated On : | 06 Feb, 2017 |
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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 : | Fitzroyhenry Graham |
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| Authorized Official Credential : | M.D |
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| Official Title or Position : | OWNER |
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| Phone Number : | 770-485-9670 |
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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 Graham Pediatrics Of Woodstock Llc are as mentioned. Primary taxonomy code for Graham Pediatrics Of Woodstock Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 48780 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Graham Pediatrics Of Woodstock Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000919663B | MEDICAID | 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 : | 105 Mirramont Lake Dr
Woodstock, GA, 30189-8214
United States |
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| Phone Number : | 770-485-9670 |
|---|
Business Location:
Patients can refer following map for directions to
Graham Pediatrics Of Woodstock Llc 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.