Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
Active OrganizationPERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC is a Sports Medicine (Pediatrics) organization located in BOGART, Georgia. NPI 1295081321 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · BOGART, GA
Registration Details
- NPI Number
- 1295081321
- Provider Type
- Organization
- NPI Issued
- Jul 26, 2012 (14.090468831363 yrs)
- Last Updated
- Jul 26, 2012
- Licenses
-
58543 (GA)58543 (GA)58543 (GA)
Practice Information
- Address
-
1181 LANGFORD DRBLDG 200-101BOGART, GA, 306222542Browse GA providers · Browse ZIP 30622
- Phone
- 7062076694
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Sports Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.