Northside Children'S Pediatric Center, Llc in Canton - Primary Care
Northside Children'S Pediatric Center, Llc - NPI 1396945515
Northside Children'S Pediatric Center, Llc is a Primary Care in Canton, Georgia. Northside Children'S Pediatric Center, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Northside Children'S Pediatric Center, Llc is 1396945515. The last update date is 2012-01-24.
Northside Children'S Pediatric Center, Llc's current location address is 391 East Main Street, Canton, Georgia. You can contact this provider via phone number 7707206963 and fax number 7707206965. The mailing address for Northside Children'S Pediatric Center, Llc is 391 East Main Street, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northside Children'S Pediatric Center, Llc |
|---|---|
| Address | 391 East Main Street, Canton, Georgia |
| Phone Number | 7707206963 |
| Fax Number | 7707206965 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RN-PNP, ME |
|---|---|
| Authorized Official Name | Anderson Heaton Stephanie |
| Credentials | DNP, PNP, |
| Telephone Number | 7707206963 |
NPI Number Detail
| NPI Number | 1396945515 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 391 East Main Street |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301142712 |
| Phone Number | 7707206963 |
| Fax Number | 7707206965 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | GA PHYSICIAN |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 629697125A | GA | -- | |
| 1396945515 | GA | AUTH REPRESENTATIVE: MICHAEL G |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Northside Children'S Pediatric Center, Llc by the Centers for Medicare & Medicaid Services?
The Northside Children'S Pediatric Center, Llc has been assigned the NPI (National Provider Identifier) 1396945515 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Northside Children'S Pediatric Center, Llc's physical address?
The Northside Children'S Pediatric Center, Llc is physically located at 391 East Main Street, in the city of Canton, GA, with the postal code 301142712.
What is the Northside Children'S Pediatric Center, Llc's area of specialization and corresponding taxonomy classification?
The Northside Children'S Pediatric Center, Llc's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Northside Children'S Pediatric Center, Llc receive the assignment of its 1396945515 from the Centers for Medicare & Medicaid Services?
The Northside Children'S Pediatric Center, Llc was issued its 1396945515 by the Centers for Medicare & Medicaid Services on 2007-07-25.
When was the information related to Northside Children'S Pediatric Center, Llc most recently updated or refreshed?
The details pertaining to the Northside Children'S Pediatric Center, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-24.
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