NPI 1568516615

Norcross Pediatric Clinic INC

Organisation Pediatrics Physician Norcross, GA

Practice location

Address: 4608 Jimmy Carter Blvd STE 7, Norcross, GA 30093-3758
Phone: (770) 938-6966
Fax: (770) 938-6968

Authorised official

Name: Loan Hong Huynh
Title: Ceo
Phone: (770) 938-6966

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 044941 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1568516615
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 22 Aug 2020

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.