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Organization
NNOKP
Active
Organization
NNOKP
Active
Other names
Nuestros Ninos Our Kids Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CANO (PRACTICE MANAGER)
(770) 732-6007
Entity
Organization
Contact information
Practice address
777 FRANKLIN GTWY SE, MARIETTA, GA 30067-7803
(770) 732-6007
(770) 732-8242
Mailing address
777 FRANKLIN GTWY SE, MARIETTA, GA 30067-7803
(770) 732-6007
(770) 732-8242
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000813425E
—
GA
05
—
000874057I
—
GA
05
—
000897454E
—
GA
05
—
000906716C
—
GA
05
—
003145632A
—
GA
05
—
818552480A
—
GA
Enumeration date
02/14/2017
Last updated
02/14/2017
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