NPI 1003119934

United Pediatrics PC

Organisation Pediatrics Physician Norcross, GA

Practice location

Address: 4775 Jimmy Carter Blvd Suite 102, Norcross, GA 30093-3760
Phone: (770) 717-0033
Fax: (770) 717-0028

Authorised official

Name: Tayaba Fatema
Title: Owner
Phone: (770) 717-0033

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 045783 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1003119934
Entity type: Organization
NPI issued: 15 Dec 2010
Record last updated: 15 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.