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NPI Code Detail

MEDICARE: WEST ATLANTA PEDIATRICS, P.C.

MEDICARE: WEST ATLANTA PEDIATRICS, 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
1208000000XPediatrics Physician024659GA

General Provider Information

NPI Number : 1437362225
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST ATLANTA PEDIATRICS, P.C.
Provider Business Mailing Address
First Line : 915 THORNTON RD
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-2634
Country : US
Telephone Number : 770-739-9292
Fax Number : 770-948-9126
Provider Business Practice Location Address
First Line : 915 THORNTON RD
Second Line :
City : LITHIA SPRINGS
State : GA
Zip : 30122-2634
Country : US
Telephone Number : 770-739-9292
Fax Number : 770-948-9126
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEPHEN LYALL CARTER II
Credential : M.D.
Telephone Number : 770-739-9292
Provider Enumeration Date : 05/08/2007
Last Update Date : 08/22/2020

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Directions to “WEST ATLANTA PEDIATRICS, P.C. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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