Organization
PEDIATRIA HEALTHCARE FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY COFFIELD RN (SENIOR VP)
(770) 840-1966
Entity
Organization
Contact information
Practice address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
Mailing address
5185 PEACHTREE PKWY, SUITE 350, NORCROSS, GA 30092-6542
(770) 840-1966
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN151537
GA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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