National Provider Identifier Database

CAMP CREEK PEDIATRICS LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

CAMP CREEK PEDIATRICS LLC
3890 REDWINE RD SW
SUITE 100
ATLANTA, GA30331-5582
Phone: 404-349-2273
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for CAMP CREEK PEDIATRICS LLC

NPI Number 1922269612
Legal business name
LBN
CAMP CREEK PEDIATRICS LLC
Authorized official CHARLENE JOHNSON-BROWN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 06/24/2008
Last updated 06/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 049655

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.

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