Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kid Station Pediatrics PC

Organization Pediatrics Physician · NPI 1720213952

Kid Station Pediatrics PC is a Pediatrics Physician in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 Medical Dr Ste 504
Lagrange, GA 30240-4144
Phone: (706) 882-5437
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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 058657 (GA)

Record details

NPI number1720213952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kalyani Rajeev — Owner · (678) 481-7879
NPI enumeratedMay 18, 2009
Last updated in NPPESFebruary 2, 2012
Mailing address301 Medical Dr, Suite 504, Lagrange, GA 30240-4144

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