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

Kids-Doc-On-Wheels

Organization Pediatrics Physician · NPI 1497277404

Kids-Doc-On-Wheels is a Pediatrics Physician in Clarkston, Georgia. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4112 E Ponce De Leon Ave # 2
Clarkston, GA 30021-8106
Phone: (404) 574-2512
Fax: (404) 296-7211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4112 E Ponce De Leon Ave # 2, Clarkston, GA 30021-8106 — (404) 574-2512

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1497277404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynette Wilson-Phillips — Board Of Directors · (404) 574-2512
NPI enumeratedJuly 11, 2017
Last updated in NPPESDecember 14, 2017
Mailing address4112 E Ponce De Leon Ave # 2, Clarkston, GA 30021-8106

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