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Northside Children's Pediatric Center, Llc
Primary Care Clinic/Center in Canton, Georgia
NPI 1396945515

Northside Children's Pediatric Center, Llc is a Primary Care Clinic/Center based in Canton, GA and is specialized in Primary Care. Northside Children's Pediatric Center, Llc practices in Canton, GA. The NPI Number for Northside Children's Pediatric Center, Llc is 1396945515 and holds a License No. GA 54532 (Georgia).

The current practice location address for Northside Children's Pediatric Center, Llc is 391 East Main Street, Canton, GA and can be reached out via phone at 770-720-6963 and via fax at 770-720-6965. You can also correspond with Northside Children's Pediatric Center, Llc through the mailing address at 391 EAST MAIN STREET, CANTON, GA - 30114-2712 (mailing address contact number: 770-720-6963).

Location: 391 East Main Street, Canton, GA, 30114-2712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396945515
Provider Name
Northside Children's Pediatric Center, Llc
Credential
Provider Entity Type
Organization
Address
391 East Main Street, Canton, GA, 30114-2712
Phone Number
770-720-6963
Fax Number
770-720-6965
Provider Enumeration Date
07/25/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
629697125A 05 GA
1396945515 01 GA AUTH REPRESENTATIVE: MICHAEL G. ANDERSON, MD, ENTITY ATTENDING PHYSICIAN
institution
Provider Business Practice Location Address Details
Address
391 East Main Street
City
Canton
State
Georgia
Zip
30114-2712
Phone Number
770-720-6963
Fax Number
770-720-6965
person
Provider Business Mailing Address Details
Address
391 East Main Street
City
Canton
State
Georgia
Zip
30114-2712
Phone Number
770-720-6963
Fax Number
770-720-6965
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
GA PHYSICIAN 54532 (Georgia)
Definition
A pediatrician 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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
GA 54532 (Georgia)
Definition
Definition to come...
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