Kids Time Pediatrics of Southern Crescent, LLC
Kids Time Pediatrics of Southern Crescent, LLC provides Pediatric Adolescent Medicine Physician services in Fayetteville, Georgia. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 Sumner Rd Ste DFayetteville, GA 30214-4758
Phone: (706) 342-2180
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1447383351 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Flynn Clyburn — President · (706) 342-2180 |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 696 Billups Ave, Madison, GA 30650-1439 |