Organization
ATHENS KIDS SPECIALISTS, PC
Active
Other names
Athens Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX SHERWIN LOPEZ PH.D. (PRESIDENT)
(706) 543-9899
Entity
Organization
Contact information
Practice address
1500 OGLETHORPE AVE, BLDG 100, ATHENS, GA 30606-2179
(706) 543-9899
(706) 613-3995
Mailing address
1500 OGLETHORPE AVE, BLDG 100, ATHENS, GA 30606-2179
(706) 543-9899
(706) 613-3995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000754839B
—
GA
Enumeration date
12/06/2006
Last updated
10/19/2011
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