Organization
ALLIANCE PEDIATRIC PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LYNNE PITMAN RN (RN, DIRECTOR OF OPERATIONS)
(770) 389-1525
Entity
Organization
Contact information
Practice address
115 WESTRIDGE INDUSTRIAL BLVD, STE 380, MCDONOUGH, GA 30253-4214
(770) 389-1525
(470) 300-3550
Mailing address
115 WESTRIDGE INDUSTRIAL BLVD STE 380, MCDONOUGH, GA 30253-4214
(770) 389-1525
(470) 300-3550
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
075-R-1954
GA
253Z00000X
In Home Supportive Care Agency
075-R-1954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003210228A
—
GA
Enumeration date
04/24/2018
Last updated
08/25/2025
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