# KIDS TIME PEDIATRICS - ALPHARETTA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Time Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205157054
- **Authorized official:** FLYNN CLYBURN (MANAGER)
- **Authorized official phone:** (706) 342-2180

## Contact information

- **Practice address:** 696 BILLUPS AVE, MADISON, GA 30650-1439
- **Practice address phone:** (706) 342-2180
- **Mailing address:** 4000 N POINT PKWY, SUITE 900/1000, ALPHARETTA, GA 30022-8801
- **Mailing address phone:** (404) 943-1979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 32201 | GA | Yes |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 06/16/2010