Provider Demographics
NPI:1710003520
Name:PIEDMONT PEDIATRICS, LLC
Entity Type:Organization
Organization Name:PIEDMONT PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-351-6662
Mailing Address - Street 1:105 COLLIER RD NW
Mailing Address - Street 2:SUITE 4060
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1710
Mailing Address - Country:US
Mailing Address - Phone:404-351-6662
Mailing Address - Fax:404-351-6030
Practice Address - Street 1:105 COLLIER RD NW
Practice Address - Street 2:SUITE 4060
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1710
Practice Address - Country:US
Practice Address - Phone:404-351-6662
Practice Address - Fax:404-351-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty