# KIDS & TEENS PRIMARY HEALTH CARE OF ATLANTA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164432100
- **Authorized official:** DR. BYRON CEDRIC COTTON M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (404) 875-4261

## Contact information

- **Practice address:** 1462 MONTREAL RD, STE 212, TUCKER, GA 30084-6929
- **Practice address phone:** (404) 875-4261
- **Practice address fax:** (770) 939-7750
- **Mailing address:** 1462 MONTREAL RD, STE 212, TUCKER, GA 30084-6929
- **Mailing address phone:** (404) 875-4261
- **Mailing address fax:** (770) 939-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 041098 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 041098 | GA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 09/11/2025