NPI 1003584327

Life Cycle Pediatrics, LLC

Organisation Pediatrics Physician Riverdale, GA

Practice location

Address: 150 Medical Way STE B, Riverdale, GA 30274-2533
Phone: (770) 692-2800
Fax: (770) 692-2804
Mailing address: 2739 Felton Dr, East Point, GA 30344-3603

Authorised official

Name: Gwendolyn Williams
Title: Office Manager
Phone: (404) 228-0601

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Georgia →

Registry record

NPI: 1003584327
Entity type: Organization
NPI issued: 1 Sep 2021
Record last updated: 1 Sep 2021

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.