Kidcare Pediatrics

NPI #1871689265 in College Park, Georgia

Provider Information

NPI Number: 1871689265
Entity Type: Organization
Organization Name: Kidcare Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Oct 5, 2006
Last Updated: Sep 16, 2020

Practice Location

Address: 2565 JOLLY RD STE A
City: College Park
State: Georgia
ZIP Code: 30349-3103
Phone: (404) 765-9437

Authorized Official

Name: MR. CHAUNCEY DANIELS
Title: CEO
Phone: (404) 765-9437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Exclusive Provider Organization	302F00000X
Pediatrics	208000000X	Primary

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