Spectrum Pediatric Grp
Spectrum Pediatric Grp provides Medical Specialty Clinic/Center services in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
3104 Creekside Village Dr Ste 504Kennesaw, GA 30144 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 966-0778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 050548 (GA) |
|---|
Record details
| NPI number | 1154447043 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kola Ologunja — President · (770) 966-0778 |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | May 19, 2008 |
| Mailing address | 3104 Creekside Village Dr, Suite 504, Kennesaw, GA 30144 |
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