Egleston Pediatric Group in Atlanta - Pediatric Critical Care Medicine
Egleston Pediatric Group - NPI 1811041452
Egleston Pediatric Group is a Pediatric Critical Care Medicine in Atlanta, Georgia. Egleston Pediatric Group practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Egleston Pediatric Group is 1811041452. The last update date is 2023-03-28.
Egleston Pediatric Group's current location address is 1405 Clifton Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4047856000. The mailing address for Egleston Pediatric Group is 1405 Clifton Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Egleston Pediatric Group |
|---|---|
| Address | 1405 Clifton Rd Ne, Atlanta, Georgia |
| Phone Number | 4047856000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER, P |
|---|---|
| Authorized Official Name | Cody Louetta |
| Telephone Number | 4047857876 |
NPI Number Detail
| NPI Number | 1811041452 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 1405 Clifton Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303221060 |
| Phone Number | 4047856000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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What is the unique identifier code issued to Egleston Pediatric Group by the Centers for Medicare & Medicaid Services?
The Egleston Pediatric Group has been assigned the NPI (National Provider Identifier) 1811041452. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Egleston Pediatric Group located?
The Egleston Pediatric Group is located at 1405 Clifton Rd Ne, Atlanta, GA 303221060.
What is Egleston Pediatric Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Egleston Pediatric Group is Pediatric Critical Care Medicine, and the taxonomy code that classifies this field of practice is 2080P0203X.
When was the Egleston Pediatric Group's 1811041452 issued?
The Egleston Pediatric Group's 1811041452 was issued on 2007-01-22.
When was the information regarding Egleston Pediatric Group most recently updated?
The details pertaining to the Egleston Pediatric Group, including its address, specialty, and other relevant information, were last refreshed on 2023-03-28.
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