Ivy League Pediatrics
Pediatrics
Ivy League Pediatrics is a Lawrenceville, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
601 Old Norcross Rd, Ste B, Lawrenceville, Georgia - 30046-4311. They can be contacted on phone at
678-407-4489.
NPI number (Unique professional ID) for Ivy League Pediatrics is
1386928943 which was assigned by NPPES on 30 Sep, 2011 and it was last updated on 30 Sep, 2011.
Ivy League Pediatrics license number is
061715 for Pediatrics (208000000X) in Georgia.
Ivy League Pediatrics 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:
Ivy League Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Ivy League Pediatrics |
|---|
Business Address:
Ivy League Pediatrics 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 : | 601 Old Norcross Rd, Ste B
Lawrenceville, GA, 30046-4311
United States |
|---|
| Phone Number : | 678-407-4489 |
|---|
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 : | 1386928943 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 30 Sep, 2011 |
|---|
| Last Updated On : | 30 Sep, 2011 |
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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 : | Nneka Unachukwu |
|---|
| Official Title or Position : | MD |
|---|
| Phone Number : | 678-407-4489 |
|---|
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 Ivy League Pediatrics are as mentioned. Primary taxonomy code for Ivy League Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 061715 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Ivy League Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 56042500B | 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 : | 601 Old Norcross Rd, Ste B
Lawrenceville, GA, 30046-4311
United States |
|---|
Business Location:
Patients can refer following map for directions to
Ivy League Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.