Organization
KIDS TIME PEDIATRICS OF PERIMETER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLYNN CLYBURN (MANAGER)
(706) 342-2180
Entity
Organization
Contact information
Practice address
5252 ROSWELL RD NE, SUITE 200, ATLANTA, GA 30342-1969
(706) 342-2180
Mailing address
696 BILLUPS AVE, MADISON, GA 30650-1439
(706) 342-2180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
GA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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