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Kids Doc Pediatrics
Primary Care Clinic/Center in Lilburn, Georgia
NPI 1932374618

Kids Doc Pediatrics is a Primary Care Clinic/Center based in Lilburn, GA and is specialized in Primary Care. Kids Doc Pediatrics practices in Lilburn, GA. The NPI Number for Kids Doc Pediatrics is 1932374618 and holds a License No. 043638 (Georgia).

The current practice location address for Kids Doc Pediatrics is 3100 Five Forks Trickum Rd Sw Ste 204, Lilburn, GA and can be reached out via phone at 770-978-7701 and via fax at 770-978-7822.

Location: 3100 Five Forks Trickum Rd Sw Ste 204, Lilburn, GA, 30047-1887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932374618
Provider Name
Kids Doc Pediatrics
Credential
Provider Entity Type
Organization
Address
3100 Five Forks Trickum Rd Sw Ste 204, Lilburn, GA, 30047-1887
Phone Number
770-978-7701
Fax Number
770-978-7822
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000809817N 05 GA
institution
Provider Business Practice Location Address Details
Address
3100 Five Forks Trickum Rd Sw Ste 204
City
Lilburn
State
Georgia
Zip
30047-1887
Phone Number
770-978-7701
Fax Number
770-978-7822
person
Provider Business Mailing Address Details
Address
3100 Five Forks Trickum Rd Sw Ste 204
City
Lilburn
State
Georgia
Zip
30047-1887
Phone Number
770-978-7701
Fax Number
770-978-7822
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
043638 (Georgia)
Definition
Definition to come...
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