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Organization
KIDS AVENUE PEDIATRICS LLC
Active
Organization
KIDS AVENUE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERTRUDE BROWN ARRINGTON M.D. (MEDICAL DOCTOR)
(770) 909-8007
Entity
Organization
Contact information
Practice address
1720 PHOENIX BLVD, COLLEGE PARK, GA 30349-5594
(770) 909-8007
(770) 909-8005
Mailing address
1720 PHOENIX BLVD, COLLEGE PARK, GA 30349-5594
(770) 909-8007
(770) 909-8005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
027036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000298053E
—
GA
Enumeration date
02/21/2013
Last updated
02/21/2013
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