NPI 1063688224

Life Cycle Pediatrics

Organisation Pediatrics Physician Riverdale, GA

Practice location

Address: 107b Upper Riverdale Rd SW, Riverdale, GA 30274-2540
Phone: (770) 692-2800
Fax: (770) 692-2804
Mailing address: 2739 Felton Dr, East Point, GA 30344-3603

Authorised official

Name: Dorsey Norwood
Title: Physician
Phone: (770) 692-2800

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 046192 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1063688224
Entity type: Organization
NPI issued: 7 May 2008
Record last updated: 7 May 2008

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.