Children'S Healthcare Of Atlanta Marietta Primary Care in Marietta - Clinic/center
Children'S Healthcare Of Atlanta Marietta Primary Care - NPI 1235161464
Children'S Healthcare Of Atlanta Marietta Primary Care is a Clinic/center in Marietta, Georgia. Children'S Healthcare Of Atlanta Marietta Primary Care practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Children'S Healthcare Of Atlanta Marietta Primary Care is 1235161464. The last update date is 2020-08-22.
Children'S Healthcare Of Atlanta Marietta Primary Care's current location address is 895 Canton Rd Ne Bldg 100, Marietta, Georgia. You can contact this provider via phone number 4047858220 and fax number 4047858257. The mailing address for Children'S Healthcare Of Atlanta Marietta Primary Care is 895 Canton Rd Ne Bldg 100, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Healthcare Of Atlanta Marietta Primary Care |
|---|---|
| Address | 895 Canton Rd Ne Bldg 100, Marietta, Georgia |
| Phone Number | 4047858220 |
| Fax Number | 4047858257 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | STAFF PEDI |
|---|---|
| Authorized Official Name | Jung Janet |
| Credentials | MD |
| Telephone Number | 4047858200 |
NPI Number Detail
| NPI Number | 1235161464 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 895 Canton Rd Ne Bldg 100 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300608935 |
| Phone Number | 4047858220 |
| Fax Number | 4047858257 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 40933 |
|
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 |
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What is the Children'S Healthcare Of Atlanta Marietta Primary Care's 1235161464?
The Children'S Healthcare Of Atlanta Marietta Primary Care's NPI (National Provider Identifier) Number is 1235161464. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Children'S Healthcare Of Atlanta Marietta Primary Care is located?
The Children'S Healthcare Of Atlanta Marietta Primary Care is situated at the following address: 895 Canton Rd Ne Bldg 100, Marietta, GA, 300608935.
What is the area of specialization for Children'S Healthcare Of Atlanta Marietta Primary Care, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Children'S Healthcare Of Atlanta Marietta Primary Care is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235161464 to Children'S Healthcare Of Atlanta Marietta Primary Care?
The Children'S Healthcare Of Atlanta Marietta Primary Care received its 1235161464 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the Children'S Healthcare Of Atlanta Marietta Primary Care's information last updated?
The Children'S Healthcare Of Atlanta Marietta Primary Care's information was last updated on 2020-08-22.