Organization
THE CHILDRENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY J DANITS M.D. (PRESIDENT)
(770) 960-9999
Entity
Organization
Contact information
Practice address
1000 CORPORATE CENTER DR, SUITE 220, MORROW, GA 30260-4180
(770) 960-9999
(770) 960-0931
Mailing address
1000 CORPORATE CENTER DR, SUITE 220, MORROW, GA 30260-4180
(770) 960-9999
(770) 960-0931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15242
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000509539A
—
GA
Enumeration date
04/25/2008
Last updated
04/25/2008
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