Kids-doc-on-wheels
Pediatrics
Kids-doc-on-wheels is a Clarkston, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
4112 E Ponce De Leon Ave # 2, Clarkston, Georgia - 30021-8106. They can be contacted on phone at
404-574-2512 and fax number 404-296-7211.
NPI number (Unique professional ID) for Kids-doc-on-wheels is
1497277404 which was assigned by NPPES on 11 Jul, 2017 and it was last updated on 14 Dec, 2017.
Kids-doc-on-wheels 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:
Kids-doc-on-wheels basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kids-doc-on-wheels |
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Business Address:
Kids-doc-on-wheels 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 # 2
Clarkston, GA, 30021-8106
United States |
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| Phone Number : | 404-574-2512 |
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| Fax Number : | 404-296-7211 |
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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 : | 1497277404 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 Jul, 2017 |
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| Last Updated On : | 14 Dec, 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 : | Lynetter Wilson-phillips |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | BOARD OF DIRECTORS |
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| Phone Number : | 404-574-2512 |
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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 Kids-doc-on-wheels are as mentioned. Primary taxonomy code for Kids-doc-on-wheels is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Kids-doc-on-wheels such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003193946A | 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 : | 4112 E Ponce De Leon Ave # 2
Clarkston, GA, 30021-8106
United States |
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| Phone Number : | 404-574-2512 |
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| Fax Number : | 404-296-7211 |
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Business Location:
Patients can refer following map for directions to
Kids-doc-on-wheels practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.