Provider Demographics
NPI:1235581596
Name:ALL STARR PEDIATRICS, LLC
Entity Type:Organization
Organization Name:ALL STARR PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-833-5199
Mailing Address - Street 1:19 EASTBROOK BND STE 200
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1500
Mailing Address - Country:US
Mailing Address - Phone:678-833-5199
Mailing Address - Fax:
Practice Address - Street 1:19 EASTBROOK BND STE 200
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1500
Practice Address - Country:US
Practice Address - Phone:678-833-5199
Practice Address - Fax:678-519-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAP72422208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty