Kids & Teens Primary Healthcare in Decatur - Adolescent Medicine
Kids & Teens Primary Healthcare - NPI 1346419710
Kids & Teens Primary Healthcare is a Adolescent Medicine in Decatur, Georgia. Kids & Teens Primary Healthcare practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kids & Teens Primary Healthcare is 1346419710. The last update date is 2009-09-01.
Kids & Teens Primary Healthcare's current location address is 2785 Lawrenceville Hwy, Decatur, Georgia. You can contact this provider via phone number 7706210245 and fax number 7706210819. The mailing address for Kids & Teens Primary Healthcare is 2785 Lawrenceville Hwy, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids & Teens Primary Healthcare |
|---|---|
| Address | 2785 Lawrenceville Hwy, Decatur, Georgia |
| Phone Number | 7706210245 |
| Fax Number | 7706210819 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Cotton Cedric Byron |
| Credentials | MD, FAAP |
| Telephone Number | 7706210245 |
NPI Number Detail
| NPI Number | 1346419710 |
|---|---|
| Provider Enumeration Date | 2008-02-29 |
| Last Updated Date | 2009-09-01 |
Provider Mailing Address Detail
| Address | 2785 Lawrenceville Hwy |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 30033 |
| Phone Number | 7706210245 |
| Fax Number | 7706210819 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 41098 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000679731N | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kids & Teens Primary Healthcare by the Centers for Medicare & Medicaid Services?
The Kids & Teens Primary Healthcare has been assigned the NPI (National Provider Identifier) 1346419710. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kids & Teens Primary Healthcare?
The Kids & Teens Primary Healthcare is physically situated at 2785 Lawrenceville Hwy, in the city of Decatur, state of GA, with the postal code 30033.
What is Kids & Teens Primary Healthcare's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kids & Teens Primary Healthcare is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 207Qa0000X.
When did the Kids & Teens Primary Healthcare receive its 1346419710?
The Kids & Teens Primary Healthcare was issued its 1346419710 on 2008-02-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kids & Teens Primary Healthcare last refreshed?
The information related to the Kids & Teens Primary Healthcare, including its address, specialty, and other relevant details, was last updated on 2009-09-01.
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