Organization Name: | HOLCOMB BRIDGE PEDIATRICS |
NPI Number: | 1023141868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NINA BATSON FORT (OFFICE MANAGER) |
Mailing Address: | 3957 Holcomb Bridge Rd Suite 100 Norcross |
State: | GA US |
Postal Code: | 300922207 |
Phone Number: | 7704499334 |
Fax Number: | 7704499319 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |