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Vibrant Kids Pediatrics, Llc
Clinic/Center in Newnan, Georgia
NPI 1811241417

Vibrant Kids Pediatrics, Llc is a Clinic/Center based in Newnan, GA. Vibrant Kids Pediatrics, Llc practices in Newnan, GA. The NPI Number for Vibrant Kids Pediatrics, Llc is 1811241417 and holds a License No. 061061 (Georgia).

The current practice location address for Vibrant Kids Pediatrics, Llc is 10 Market Square Way Ste 100, Newnan, GA and can be reached out via phone at 678-423-5560 and via fax at 678-423-5563.

Location: 10 Market Square Way Ste 100, Newnan, GA, 30265-5649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811241417
Provider Name
Vibrant Kids Pediatrics, Llc
Credential
Provider Entity Type
Organization
Address
10 Market Square Way Ste 100, Newnan, GA, 30265-5649
Phone Number
678-423-5560
Fax Number
678-423-5563
Provider Enumeration Date
11/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Market Square Way Ste 100
City
Newnan
State
Georgia
Zip
30265-6078
Phone Number
678-423-5560
Fax Number
678-423-5563
person
Provider Business Mailing Address Details
Address
10 Market Square Way Ste 100
City
Newnan
State
Georgia
Zip
30265-6078
Phone Number
678-423-5560
Fax Number
678-423-5563
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
061061 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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