Shivashanker Pc
Pediatrics
Shivashanker Pc is a Jonesboro, Georgia based Pediatric center with medical specialization in
General Pediatrics. Shivashanker Pc is doing business as
Parkway Medical Clinic.
It is located at
7695 Highpoint Dr, Jonesboro, Georgia - 30236. They can be contacted on phone at
404-361-3100 and fax number 404-361-3141.
NPI number (Unique professional ID) for Shivashanker Pc is
1306083324 which was assigned by NPPES on 13 Jan, 2009 and it was last updated on 13 Jan, 2009.
Shivashanker Pc license number is
034881 for Pediatrics (208000000X) in Georgia.
Shivashanker 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:
Shivashanker Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shivashanker Pc |
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| Other Name : | Parkway Medical Clinic |
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Business Address:
Shivashanker 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 : | 7695 Highpoint Dr
Jonesboro, GA, 30236
United States |
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| Phone Number : | 404-361-3100 |
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| Fax Number : | 404-361-3141 |
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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 : | 1306083324 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Jan, 2009 |
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| Last Updated On : | 13 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 : | Valenciaw Flournoy |
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| Official Title or Position : | ADMINISTRATOR |
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| Phone Number : | 404-579-2188 |
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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 Shivashanker Pc are as mentioned. Primary taxonomy code for Shivashanker Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 034881 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Shivashanker Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000477287K | 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 : | 406 Forest Pkwy, Ste A
Forest Park, GA, 30297-2190
United States |
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| Phone Number : | 404-361-3100 |
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| Fax Number : | 404-361-3141 |
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Business Location:
Patients can refer following map for directions to
Shivashanker 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.