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

Pediatrics and Adolescent Medicine, PA

Organization Pediatrics Physician · NPI 1083746838

Pediatrics and Adolescent Medicine, PA is a Pediatrics Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2155 Post Oak Tritt Rd Ste 100
Marietta, GA 30062-8620
Phone: (770) 973-4700
Fax: (770) 973-5460
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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 22123 (GA)

Record details

NPI number1083746838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Sevin — Practice Administrator · (770) 973-4700
Other names Pampa
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 26, 2016
Mailing addressPo Box 102613, Atlanta, GA 30368-2613

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