Performance Pediatrics and Sports Medicine, LLC
Performance Pediatrics and Sports Medicine, LLC is an Internal Medicine Physician in Bogart, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1181 Langford Dr Bldg 200-101Bogart, GA 30622-2542
Phone: (706) 207-6694
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Sports Medicine Physician (primary) | Taxonomy 2080S0010X · Licence 58543 (GA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 58543 (GA) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 58543 (GA) |
Record details
| NPI number | 1295081321 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Merritt — Owner Physician · (706) 202-3236 |
| NPI enumerated | July 26, 2012 |
| Last updated in NPPES | July 26, 2012 |
| Mailing address | 1181 Langford Dr, Bldg 200-101, Bogart, GA 30622-2542 |
Other providers in Bogart
-
Dr. James Michael Cobb, MD
129 Main St, Bogart, GA 30622-1566 · (770) 725-7420