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

Walton Children's Clinic

Organization Pediatrics Physician · NPI 1396145058

Walton Children's Clinic is a Pediatrics Physician in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

98 Tara Commons Dr Ste 400
Loganville, GA 30052-8031
Phone: (770) 207-5437
Fax: (770) 207-7263
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036724 (GA)

Record details

NPI number1396145058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebba Ebba — President · (770) 207-5437
NPI enumeratedSeptember 1, 2014
Last updated in NPPESSeptember 23, 2015
Mailing address98 Tara Commons Dr, Suite 400, Loganville, GA 30052-8031

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