# CHILDFREN'S MEDICAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1497865935
- **Authorized official:** DR. WILLIAM K JANN MD (PRESIDENT)
- **Authorized official phone:** (404) 633-4595

## Contact information

- **Practice address:** 1875 CENTURY BLVD NE, SUITE 150, ATLANTA, GA 30345-3319
- **Practice address phone:** (404) 633-4595
- **Practice address fax:** (404) 633-6711
- **Mailing address:** 1875 CENTURY BLVD NE, SUITE 150, ATLANTA, GA 30345-3319
- **Mailing address phone:** (404) 633-4595
- **Mailing address fax:** (404) 633-6711

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020