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Organization
THE EMORY CLINIC PEDIATRIC PROVIDERS
Active
Organization
THE EMORY CLINIC PEDIATRIC PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY COOK WALTER RN, MN, JD (DIRECTOR SYSTEM CREDENTIALING)
(404) 778-2144
Entity
Organization
Contact information
Practice address
101 W PONCE DE LEON AVE, STE 300, DECATUR, GA 30030-2528
(404) 778-2144
(404) 778-7466
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-2144
(404) 778-4819
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
NULL
207NP0225X
Pediatric Dermatology Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
NULL
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
NULL
207ZP0213X
Pediatric Pathology Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
NULL
2085P0229X
Pediatric Radiology Physician
—
—
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
09/11/2025
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