Organization
PEDIATRIC INPATIENT CARE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN PERRY MD (SHAREHOLDER)
(404) 734-3491
Entity
Organization
Contact information
Practice address
1216 HERITAGE LAKES DR SW, MABLETON, GA 30126-1248
(404) 734-3491
Mailing address
2001 N OREGON ST, EL PASO, TX 79902-3320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
11/19/2010
Last updated
12/17/2010
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