Main Street Internal Medicine & Pediatrics Pc
Pediatrics
Main Street Internal Medicine & Pediatrics Pc is a Alpharetta, Georgia based Pediatric center with medical specialization in
General Pediatrics. Main Street Internal Medicine & Pediatrics Pc is doing business as
Main Street Pediatrics Pc.
It is located at
401 S Main St, Suite C5, Alpharetta, Georgia - 30009-7960. They can be contacted on phone at
678-205-2437 and fax number 678-205-2439.
NPI number (Unique professional ID) for Main Street Internal Medicine & Pediatrics Pc is
1619155306 which was assigned by NPPES on 05 Feb, 2008 and it was last updated on 22 Jan, 2009.
Main Street Internal Medicine & Pediatrics Pc license number is
047388 for Pediatrics (208000000X) in Georgia.
Main Street Internal Medicine & Pediatrics Pc 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:
Main Street Internal Medicine & Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Main Street Internal Medicine & Pediatrics Pc |
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| Other Name : | Main Street Pediatrics Pc |
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Business Address:
Main Street Internal Medicine & Pediatrics Pc 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 : | 401 S Main St, Suite C5
Alpharetta, GA, 30009-7960
United States |
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| Phone Number : | 678-205-2437 |
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| Fax Number : | 678-205-2439 |
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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 : | 1619155306 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 05 Feb, 2008 |
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| Last Updated On : | 22 Jan, 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 : | Maribellabindalawa Angka Servera |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PHYSICIAN |
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| Phone Number : | 678-205-2437 |
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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 Main Street Internal Medicine & Pediatrics Pc are as mentioned. Primary taxonomy code for Main Street Internal Medicine & Pediatrics Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 047657 | GA |
| 208000000X | Pediatrics | Yes | 047388 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Main Street Internal Medicine & Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000860054D | MEDICAID | GA | |
| 000884804C | 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 : | 401 S Main St, Suite C5
Alpharetta, GA, 30009-7960
United States |
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| Phone Number : | 678-205-2437 |
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| Fax Number : | 678-205-2439 |
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Business Location:
Patients can refer following map for directions to
Main Street Internal Medicine & Pediatrics Pc 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.