# CAROL L HERRMANN PC

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

## Provider details

- **NPI number:** 1235713538
- **Authorized official:** DR. CAROL LYNN HERRMANN MD (OWNER)
- **Authorized official phone:** (404) 378-1998

## Contact information

- **Practice address:** 150 E PONCE DE LEON AVE STE 235, DECATUR, GA 30030-2553
- **Practice address phone:** (404) 378-1998
- **Mailing address:** 150 E PONCE DE LEON AVE STE 235, DECATUR, GA 30030-2553
- **Mailing address phone:** (404) 378-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 05/12/2021