Decatur Pediatric Group, PA
Decatur Pediatric Group, PA provides Pediatrics Physician services in Clarkston, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4112 E Ponce De Leon AveClarkston, GA 30021-1817
Phone: (404) 296-7133
Fax: (404) 296-7211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 038132 (GA) |
|---|
Record details
| NPI number | 1619029592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lynette Wilson-Phillips — President · (404) 296-7133 |
| NPI enumerated | January 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817 |
Other providers in Clarkston
-
Dr. Patrice Gibson Chishom, MD
4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 · (404) 289-7133
-
Tracy Ferguson, MD
4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 · (404) 296-7133
-
Dr. Stephanie M Henry, MD
4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 · (404) 296-7133
-
Kimberly M Humphrey Browne, MD
4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817 · (404) 296-7133
-
Keanna L Joseph-Clarke, MD
4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 · (404) 296-7133