Provider Demographics
NPI:1164412235
Name:NORTH ATLANTA PEDIATRIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NORTH ATLANTA PEDIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-256-3178
Mailing Address - Street 1:1100 LAKE HEARN DR NE
Mailing Address - Street 2:STE. 100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1523
Mailing Address - Country:US
Mailing Address - Phone:404-256-3178
Mailing Address - Fax:404-256-3583
Practice Address - Street 1:1100 LAKE HEARN DR NE
Practice Address - Street 2:STE. 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1523
Practice Address - Country:US
Practice Address - Phone:404-256-3178
Practice Address - Fax:404-256-3583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty