Unknown Individual – Pediatrics Physician, NPI 1891771408
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3369 BUFORD HWY NE STE 810
BROOKHAVEN, GA 303293722
Phone: (404) 321-4692
Fax: (404) 321-4366
Type: Mailing
4166 Buford Hwy NE Ste 11021103
Atlanta, GA 303451081
Phone: (404) 366-3636
Fax: (404) 362-0808
Type: Location
4905 COURTNEY DR
FOREST PARK, GA 302971427
Phone: (404) 366-3636
Fax: (404) 362-0808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30329)
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