Total Grace Pediatrics P.c.
Pediatric Adolescent Medicine
Total Grace Pediatrics P.c. is a Stone Mountain, Georgia based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
900 N Hairston Rd # Rs, Suite A, Stone Mountain, Georgia - 30083-2857. They can be contacted on phone at
404-292-8103 and fax number 404-292-8105.
NPI number (Unique professional ID) for Total Grace Pediatrics P.c. is
1396929444 which was assigned by NPPES on 26 Dec, 2007 and it was last updated on 26 Dec, 2007.
Total Grace Pediatrics P.c. license number is
052162 for Pediatrics Adolescent Medicine (2080A0000X) in Georgia.
Total Grace Pediatrics P.c. 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:
Total Grace Pediatrics P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Total Grace Pediatrics P.c. |
|---|
Business Address:
Total Grace Pediatrics P.c. 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 : | 900 N Hairston Rd # Rs, Suite A
Stone Mountain, GA, 30083-2857
United States |
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| Phone Number : | 404-292-8103 |
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| Fax Number : | 404-292-8105 |
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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 : | 1396929444 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 Dec, 2007 |
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| Last Updated On : | 26 Dec, 2007 |
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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 : | Bashirua Dawodu |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PHYSICIAN |
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| Phone Number : | 404-292-8103 |
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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 Total Grace Pediatrics P.c. are as mentioned. Primary taxonomy code for Total Grace Pediatrics P.c. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 052162 | 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 : | 900 N Hairston Rd # Rs, Suite A
Stone Mountain, GA, 30083-2857
United States |
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| Phone Number : | 404-292-8103 |
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| Fax Number : | 404-292-8105 |
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Business Location:
Patients can refer following map for directions to
Total Grace Pediatrics P.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.