Provider Demographics
NPI:1811521867
Name:HEALTHY KIDS R US PC
Entity type:Organization
Organization Name:HEALTHY KIDS R US PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-806-0312
Mailing Address - Street 1:11 DUNWOODY PARK STE 190
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7401
Mailing Address - Country:US
Mailing Address - Phone:770-558-3150
Mailing Address - Fax:770-558-3511
Practice Address - Street 1:11 DUNWOODY PARK STE 190
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-7401
Practice Address - Country:US
Practice Address - Phone:770-558-3150
Practice Address - Fax:770-558-3511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty