Organization
TOTAL ACCESS PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY NICHOLS MD (MANAGER)
(620) 515-2487
Entity
Organization
Contact information
Practice address
401 S MAIN ST STE A1, ALPHARETTA, GA 30009
(470) 300-9009
(404) 393-3912
Mailing address
4470 CHAMBLEE DUNWOODY RD STE 510, DUNWOODY, GA 30338-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
077296
GA
Other
Enumeration date
07/23/2018
Last updated
08/14/2018
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