Organization
KIDS DOC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKBER H HASHIM M.D. (PRESIDENT)
(770) 978-7701
Entity
Organization
Contact information
Practice address
3100 FIVE FORKS TRICKUM RD SW STE 204, LILBURN, GA 30047-1887
(770) 978-7701
(770) 978-7822
Mailing address
3100 FIVE FORKS TRICKUM RD SW STE 204, LILBURN, GA 30047-1887
(770) 978-7701
(770) 978-7822
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
043638
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000809817N
—
GA
Enumeration date
04/24/2008
Last updated
04/24/2008
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