| Dv Pediatrics Llc | |
|
2920 Marietta Hwy Suite 142 Canton GA 30114-8212 | |
| (770) 704-0057 | |
| (770) 704-0223 |
| Full Name | Dv Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2920 Marietta Hwy, Canton, Georgia |
| Authorized Official Name and Position | Vicki D Knight-mathis (OWNER) |
| Authorized Official Contact | 7707040057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dv Pediatrics Llc 2920 Marietta Hwy Suite 142 Canton GA 30114-8212 Ph: (770) 704-0057 | Dv Pediatrics Llc 2920 Marietta Hwy Suite 142 Canton GA 30114-8212 Ph: (770) 704-0057 |
| NPI Number | 1346368149 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346368149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 047337 (Georgia) | Primary |
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