Organization
KIDS FIRST PEDIATRIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE C YOUNGBLOOD MD (PHYSICAN OWNER)
(770) 506-2212
Entity
Organization
Contact information
Practice address
1045 SOUTHCREST DR, SUITE 110, STOCKBRIDGE, GA 30281-6113
(770) 507-2212
(770) 507-2213
Mailing address
1045 SOUTHCREST DR, SUITE 110, STOCKBRIDGE, GA 30281-6113
(770) 507-2212
(770) 507-2213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
01/30/2013
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