Organization
PEDIATRIA HEALTHCARE, LLC
Active
Organization
PEDIATRIA HEALTHCARE, LLC
Active
Parent organization
PEDIATRIA HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIA HEALTHCARE, LLC
Authorized official
MS. ROBBIE KILINSKI (VP OF BUSINESS OPERATIONS)
(770) 840-1966
Entity
Organization
Contact information
Practice address
1967 LAKESIDE PKWY, SUITE 420, TUCKER, GA 30084-5867
(770) 414-0055
(770) 414-0045
Mailing address
5185 PEACHTREE PKWY, STE 350, NORCROSS, GA 30092-6542
(770) 840-1966
(770) 840-1901
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
CCLC-18589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
656991060B
—
GA
Enumeration date
02/06/2008
Last updated
05/22/2008
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