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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THE EMORY CLINIC PEDIATRIC PROVIDERS

Active Organization

Pediatric Surgery · DECATUR, GA

Registration Details

NPI Number
1720285653
Provider Type
Organization
NPI Issued
Jul 3, 2007 (18.801531202884 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
101 W PONCE DE LEON AVE
STE 300
DECATUR, GA, 300302528
Browse GA providers · Browse ZIP 30030
Phone
4047782144
Fax
4047787466
Primary Specialty
Pediatric Surgery
2086S0120X
Additional Specialty
207NP0225X
Additional Specialty
Pediatric Orthopaedic Surgery
Additional Specialty
Pediatric Otolaryngology
Additional Specialty
Pediatric Pathology
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.