Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DECATUR PEDIATRIC GROUP, PA
Active OrganizationDECATUR PEDIATRIC GROUP, PA is a Pediatrics organization located in CLARKSTON, Georgia. NPI 1619029592 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · CLARKSTON, GA
Registration Details
- NPI Number
- 1619029592
- Provider Type
- Organization
- NPI Issued
- Jan 18, 2007 (19.529997944812 yrs)
- Last Updated
- Aug 22, 2020
- License
-
038132 (GA)
Practice Information
- Address
-
4112 E PONCE DE LEON AVECLARKSTON, GA, 300211817Browse GA providers · Browse ZIP 30021
- Phone
- 4042967133
- Fax
- 4042967211
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Organizations in CLARKSTON, GA
| Name | NPI |
|---|---|
| KIDS-DOC-ON-WHEELS | 1497277404 |
| MCR HEALTH, INC. | 1104565910 |
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.