| Norcross Pediatric And Family Medicine Corporation | |
|
4608 Jimmy Carter Blvd Ste 7 Norcross GA 30093-3758 | |
| (770) 938-6966 | |
| (770) 938-6968 |
| Full Name | Norcross Pediatric And Family Medicine Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4608 Jimmy Carter Blvd Ste 7, Norcross, Georgia |
| Authorized Official Name and Position | Germaine Langira (NURSE PRACTITIONER) |
| Authorized Official Contact | 7707711616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norcross Pediatric And Family Medicine Corporation 4608 Jimmy Carter Blvd Ste 7 Norcross GA 30093-3758 Ph: () - | Norcross Pediatric And Family Medicine Corporation 4608 Jimmy Carter Blvd Ste 7 Norcross GA 30093-3758 Ph: (770) 938-6966 |
| NPI Number | 1598383754 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598383754 | NPI | - | NPPES |
| RN214390 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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