Kids First Pediatric Group, LLC

NPI #1720117989 in Stockbridge, Georgia

Provider Information

NPI Number: 1720117989
Entity Type: Organization
Organization Name: Kids First Pediatric Group, LLC
Primary Specialty: Pediatrics
Enumeration Date: Mar 5, 2007
Last Updated: Jan 30, 2013

Practice Location

Address: 1045 SOUTHCREST DR
Address 2: SUITE 110
City: Stockbridge
State: Georgia
ZIP Code: 30281-6113
Phone: (770) 507-2212

Authorized Official

Name: ELAINE C YOUNGBLOOD, MD
Title: PHYSICAN OWNER
Phone: (770) 506-2212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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