National Provider Identifier Database

CRESCENT PEDIATRICS
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

CRESCENT PEDIATRICS
2925 PREMIERE PKWY
SUITE 140
DULUTH, GA30097
Phone: 770-495-6222
Fax: 770-495-9959
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Legal Medicine 173000000X

* Indicates primary specialty

NPI Profile & details for CRESCENT PEDIATRICS

NPI Number 1851494447
Legal business name
LBN
CRESCENT PEDIATRICS
Authorized official WILLIAM MONEIT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/07/2006
Last updated 02/01/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 034204
  • GA Medicaid: 000449611C
  • GA Medicaid: 85001694G
  • Other: 10037067 AMERIGROUP
  • Other: 912801 CIGNA
  • Other: 72291 COVENTRY
  • Other: 1207077 UNITED HEALTHCARE
  • Other: 313452 WELLCARE
  • GA Other: 4308928 AETNA
  • GA Other: 52062819002 BC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CRESCENT PEDIATRICS

There are currently no reviews for CRESCENT PEDIATRICS


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