Organization
KIDS & TEENS PRIMARY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON CEDRIC COTTON MD, FAAP (PHYSICIAN/OWNER)
(770) 621-0245
Entity
Organization
Contact information
Practice address
2785 LAWRENCEVILLE HWY, SUITE 207, DECATUR, GA 30033
(770) 621-0245
(770) 621-0819
Mailing address
2785 LAWRENCEVILLE HWY, SUITE 207, DECATUR, GA 30033
(770) 621-0245
(770) 621-0819
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
041098
GA
208000000X
Pediatrics Physician
Primary
041098
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000679731N
—
GA
Enumeration date
02/29/2008
Last updated
09/01/2009
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