Provider Demographics
NPI:1922265826
Name:PERIMETER PEDIATRICS
Entity Type:Organization
Organization Name:PERIMETER PEDIATRICS
Other - Org Name:PERIMETER PEDIATRICS
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:ADAMKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-458-3383
Mailing Address - Street 1:3020 MERCER UNIVERSITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4145
Mailing Address - Country:US
Mailing Address - Phone:770-458-3383
Mailing Address - Fax:770-458-9958
Practice Address - Street 1:3020 MERCER UNIVERSITY DRIVE
Practice Address - Street 2:STE 100
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-4145
Practice Address - Country:US
Practice Address - Phone:770-458-3383
Practice Address - Fax:770-458-9959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-OncologyGroup - Multi-Specialty