Kids Time Pediatrics of Gwinnett LLC
NPI #1144508862 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1144508862
- Entity Type
- Organization
- Organization Name
- Kids Time Pediatrics of Gwinnett LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jul 29, 2011
- Last Updated
- Jul 29, 2011
Practice Location
- Address
- 2695 SUGARLOAF PKWY
- Address 2
- SUITE 200
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-9456
- Phone
- (404) 943-1979
Authorized Official
- Name
- FLYNN CLYBURN
- Title
- MANAGER
- Phone
- (706) 342-2180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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