Organization
KIDS START PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZHAK A. MELAMED M.D. (PEDIATRICIANS)
(770) 941-5552
Entity
Organization
Contact information
Practice address
1515 WESTFORK DRIVE, SUITE C, LITHIA SPRINGS, GA 30122-1544
(770) 941-5552
(770) 941-2289
Mailing address
1515 WESTFORK DRIVE, SUITE C, LITHIA SPRINGS, GA 30122-1544
(770) 941-5552
(770) 941-2289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38305
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000618659D
—
GA
Enumeration date
02/15/2007
Last updated
01/13/2012
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