Kids Time Pediatrics Of Southern Crescent, Llc
Pediatric Adolescent Medicine
Kids Time Pediatrics Of Southern Crescent, Llc is a Fayetteville, Georgia based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
115 Sumner Rd, Suite D, Fayetteville, Georgia - 30214-4758. They can be contacted on phone at
706-342-2180.
NPI number (Unique professional ID) for Kids Time Pediatrics Of Southern Crescent, Llc is
1447383351 which was assigned by NPPES on 13 Mar, 2007 and it was last updated on 22 Aug, 2020.
Kids Time Pediatrics Of Southern Crescent, Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Kids Time Pediatrics Of Southern Crescent, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Kids Time Pediatrics Of Southern Crescent, Llc |
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Business Address:
Kids Time Pediatrics Of Southern Crescent, 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 : | 115 Sumner Rd, Suite D
Fayetteville, GA, 30214-4758
United States |
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| Phone Number : | 706-342-2180 |
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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 : | 1447383351 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Mar, 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 : | Flynn Clyburn |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 706-342-2180 |
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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 Time Pediatrics Of Southern Crescent, Llc are as mentioned. Primary taxonomy code for Kids Time Pediatrics Of Southern Crescent, Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
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 : | 696 Billups Ave
Madison, GA, 30650-1439
United States |
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| Phone Number : | 706-342-2180 |
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Business Location:
Patients can refer following map for directions to
Kids Time Pediatrics Of Southern Crescent, 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.