Med-Surg Providers at Children's LLC
NPI #1770949497 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1770949497
- Entity Type
- Organization
- Organization Name
- Med-Surg Providers at Children's LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 11, 2016
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 1575 NORTHEAST EXPY NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-2401
- Phone
- (404) 785-7876
Authorized Official
- Name
- LOUETTA CODY
- Title
- MGR, PROVIDER ENROLLMENT
- Phone
- (404) 785-7876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
| Pediatrics - Sports Medicine — Sports Medicine |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
| Surgery - Pediatric Surgery — Pediatric Surgery |
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
| Pediatrics |
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