Amazing Pediatrics
Organization Active NPI Pediatrics Physician · Decatur, GA
NPI 1487903829 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1487903829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 053678 (GA)
- Legal business name
- AMAZING PEDIATRICS
- Practice address
- 2403 Lawrenceville Hwy
Decatur, GA 30033-3200 - Phone
- (770) 696-2968
- Fax
- (678) 691-3460
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Angela Ruth Butler-Rice, M.D.
- Title
- Owner
- Phone
- (770) 238-6495
Practitioners 1
National Provider Directory
Locations
2403 Lawrenceville Hwy
Decatur, GA 30033
Phone (770) 696-2968
1462 Montreal Rd
Ste 212
Tucker, GA 30084
Phone (770) 270-0122
Interoperability endpoints
- https://api.platform.athenahealth.com/16957/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 053678 | GA | Yes |
Addresses
Primary practice location
2403 Lawrenceville Hwy
Decatur, GA 30033-3200
Mailing address
2403 Lawrenceville Hwy
Decatur, GA 30033-3200
Phone (770) 696-2968
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All providers in Decatur, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.