Organization
NUESTROS NINOS OUR KIDS PEDIATRICS INC.
Active
Parent organization
NUESTROS NINOS OUR KIDS PEDIATRICS
Other names
Nuestros Ninos Y La Famila
Organization subpart
Yes
Provider details
NPI number
Legal business name
NUESTROS NINOS OUR KIDS PEDIATRICS
Authorized official
MARY ELIZABETH CAHILL CPNP (OWNER/ CEO)
(770) 732-6007
Entity
Organization
Contact information
Practice address
777 FRANKLIN RD SE, MARIETTA, GA 30067-7803
(770) 732-6007
(770) 732-8242
Mailing address
777 FRANKLIN RD SE, MARIETTA, GA 30067-7803
(770) 732-6007
(770) 732-8242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN170709NP
GA
363LF0000X
Family Nurse Practitioner
RN184208NP
GA
363LP0200X
Pediatric Nurse Practitioner
RN054213NP
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN083997NP
GA
363LP0200X
Pediatric Nurse Practitioner
RN117846NP
GA
363LP0200X
Pediatric Nurse Practitioner
RN140783NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818552480A
—
GA
Enumeration date
10/24/2008
Last updated
10/27/2008
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