Kids Time Pediatrics Hamilton Mill LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

32201 Issued in GA

Legal business name

KIDS TIME PEDIATRICS HAMILTON MILL LLC

Doing business as

kids time pediatrics

Practice address

3463 Lawrenceville Suwanee Rd
Suite 116
Suwanee, GA 30024-6544

Phone

(404) 943-1979

Fax

(706) 343-0179

NPI assigned

Jul 29, 2011

Last updated

Jul 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Flynn Clyburn

Title

Manager

Phone

(706) 342-2180

Specialties & licenses 1

Addresses

Other names 1

• kids time pediatrics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1235417957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 BILLUPS AVE",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501439",
            "telephone_number": "706-342-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 116",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246544",
            "telephone_number": "404-943-1979",
            "fax_number": "706-343-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TIME PEDIATRICS HAMILTON MILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "CLYBURN",
        "authorized_official_first_name": "FLYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-342-2180"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "32201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kids time pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farah S Khan, DMD
• Panyavee Khan, MD
• Lilly Khokhlan
• Kim Khong
• Kids Creek Therapy
• Caroline Kim
• Christy Nguyen Tran Kim
• DO Young Kim, DC
• Eun Kyung Kim
• Farah Kim, DMD

• Pediatrics Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.