Organization
THE EMORY CLINIC PEDIATRIC PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY COOK WALTER RN, MN, JD (DIRECTOR SYSTEM CREDENTIALING)
(404) 778-2144
Entity
Organization
Contact information
Practice address
101 W PONCE DE LEON AVE, STE 300, DECATUR, GA 30030-2528
(404) 778-2144
(404) 778-7466
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-2144
(404) 778-4819
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
09/11/2025
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