Provider Demographics
NPI:1861454894
Name:ECKLUND, DAVID ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:ECKLUND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:404-364-4732
Practice Address - Street 1:2525 CUMBERLAND PKWY SE
Practice Address - Street 2:PEDIATRICS HEALTH CARE TEAM A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3915
Practice Address - Country:US
Practice Address - Phone:770-431-4251
Practice Address - Fax:770-431-4317
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-01-13
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Provider Licenses
StateLicense IDTaxonomies
MN45529208000000X
GA057067208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
I09233Medicare UPIN