Wellstar Medical Group East Paulding Pediatrics in Hiram - Specialist
Wellstar Medical Group East Paulding Pediatrics - NPI 1396738381
Wellstar Medical Group East Paulding Pediatrics is a Specialist in Hiram, Georgia. Wellstar Medical Group East Paulding Pediatrics practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wellstar Medical Group East Paulding Pediatrics is 1396738381. The last update date is 2011-12-08.
Wellstar Medical Group East Paulding Pediatrics's current location address is 51 Hiram Dr, Hiram, Georgia. You can contact this provider via phone number 6789458300 and fax number 7704452020. The mailing address for Wellstar Medical Group East Paulding Pediatrics is 51 Hiram Dr, Hiram, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellstar Medical Group East Paulding Pediatrics |
|---|---|
| Address | 51 Hiram Dr, Hiram, Georgia |
| Phone Number | 6789458300 |
| Fax Number | 7704452020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Davillier Kelly |
| Credentials | MD |
| Telephone Number | 6789458320 |
NPI Number Detail
| NPI Number | 1396738381 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 51 Hiram Dr |
|---|---|
| City | Hiram |
| State | Georgia (GA) |
| Post Code | 301411844 |
| Phone Number | 6789458300 |
| Fax Number | 7704452020 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24912 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1420565 | LA | -- | |
| 1899964650A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wellstar Medical Group East Paulding Pediatrics by the Centers for Medicare & Medicaid Services?
The Wellstar Medical Group East Paulding Pediatrics has been assigned the NPI (National Provider Identifier) 1396738381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Wellstar Medical Group East Paulding Pediatrics is located?
The Wellstar Medical Group East Paulding Pediatrics is situated at the following address: 51 Hiram Dr, Hiram, GA, 301411844.
What is Wellstar Medical Group East Paulding Pediatrics's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wellstar Medical Group East Paulding Pediatrics is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Wellstar Medical Group East Paulding Pediatrics's 1396738381 issued?
The Wellstar Medical Group East Paulding Pediatrics's 1396738381 was issued on 2005-08-25.
As of what date was the information regarding Wellstar Medical Group East Paulding Pediatrics, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wellstar Medical Group East Paulding Pediatrics, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-08.
NPI Number: 1356344279
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