Kids & Teens Primary Healthcare
Pediatrics
Kids & Teens Primary Healthcare is a Decatur, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2785 Lawrenceville Hwy, Suite 207, Decatur, Georgia - 30033. They can be contacted on phone at
770-621-0245 and fax number 770-621-0819.
NPI number (Unique professional ID) for Kids & Teens Primary Healthcare is
1346419710 which was assigned by NPPES on 29 Feb, 2008 and it was last updated on 01 Sep, 2009.
Kids & Teens Primary Healthcare license number is
041098 for Pediatrics (208000000X) in Georgia.
Kids & Teens Primary Healthcare 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 & Teens Primary Healthcare basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kids & Teens Primary Healthcare |
|---|
Business Address:
Kids & Teens Primary Healthcare 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 : | 2785 Lawrenceville Hwy, Suite 207
Decatur, GA, 30033
United States |
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| Phone Number : | 770-621-0245 |
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| Fax Number : | 770-621-0819 |
|---|
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 : | 1346419710 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Feb, 2008 |
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| Last Updated On : | 01 Sep, 2009 |
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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 : | Byroncedric Cotton |
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| Authorized Official Credential : | MD, FAAP |
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| Official Title or Position : | PHYSICIAN/OWNER |
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| Phone Number : | 770-621-0245 |
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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 & Teens Primary Healthcare are as mentioned. Primary taxonomy code for Kids & Teens Primary Healthcare is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207QA0000X | Family Medicine Adolescent Medicine | No | 041098 | GA |
| 208000000X | Pediatrics | Yes | 041098 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Kids & Teens Primary Healthcare such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000679731N | 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 : | 2785 Lawrenceville Hwy, Suite 207
Decatur, GA, 30033
United States |
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| Phone Number : | 770-621-0245 |
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| Fax Number : | 770-621-0819 |
|---|
Business Location:
Patients can refer following map for directions to
Kids & Teens Primary Healthcare practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.