# ATLANTA PEDIATRIC HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1174174445
- **Authorized official:** PRISCELLA GRANT (OWNER)
- **Authorized official phone:** (678) 431-5483

## Contact information

- **Practice address:** 320 LANIER AVE W STE 259, FAYETTEVILLE, GA 30214-1600
- **Practice address phone:** (770) 250-7477
- **Mailing address:** 320 LANIER AVE W STE 259, FAYETTEVILLE, GA 30214-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 10/30/2022