MEDICARE: NORTH ATLANTA PEDIATRIC ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1164412235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH ATLANTA PEDIATRIC ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	1100 LAKE HEARN DR NE
Second Line	:	STE. 100
City	:	ATLANTA
State	:	GA
Zip	:	30342-1523
Country	:	US
Telephone Number	:	404-256-3178
Fax Number	:	404-256-3583

Provider Business Practice Location Address
First Line	:	1100 LAKE HEARN DR NE
Second Line	:	STE. 100
City	:	ATLANTA
State	:	GA
Zip	:	30342-1523
Country	:	US
Telephone Number	:	404-256-3178
Fax Number	:	404-256-3583

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN C KNOX
Credential	:	M.D.
Telephone Number	:	404-256-3178

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	08/22/2020

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