Organization Name: | DAHLONEGA PEDIATRIC AND ADOLESCENT MEDICINE |
NPI Number: | 1427333095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE CORN (PROVIDER/OWNER) |
Mailing Address: | 1055 North Grove St. Dahlonega |
State: | GA US |
Postal Code: | 30533 |
Phone Number: | 7068646700 |
Fax Number: | 7068642599 |
NPI Enumeration Date: | 10/14/2011 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | RN068135 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |