Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HEART AND SOUL PEDIATRICS LLC
Active
Organization
HEART AND SOUL PEDIATRICS LLC
Active
Other names
Heart and Soul Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENID COLON MD (PCP)
(770) 345-0055
Entity
Organization
Contact information
Practice address
205 WALESKA RD STE 1C, CANTON, GA 30114-2493
(470) 371-3271
(770) 345-0020
Mailing address
11770 HAYNES BRIDGE RD, SUITE 205 PMB 307, ALPHARETTA, GA 30009-1968
(470) 371-3271
(770) 345-0020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275165292
NPI ORGANIZATION
GA
01
—
1306836747
NPI
GA
01
—
43020
LICENSE
GA
Enumeration date
02/07/2020
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up