1154447043 SPECTRUM PEDIATRIC GRP

Medical Specialty Clinic/Center

Active

Basic Information

Organization Name
SPECTRUM PEDIATRIC GRP
Enumeration Date
March 22, 2007
Last Update
May 19, 2008
Authorized Official
KOLA OLOGUNJA MD
PRESIDENT
Phone: (770) 966-0778

Practice Location

Address
3104 CREEKSIDE VILLAGE DR
SUITE 504
KENNESAW, GA 30144
Phone
(770) 966-0778

Mailing Address

Address
3104 CREEKSIDE VILLAGE DR
SUITE 504
KENNESAW, GA 30144
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Medical Specialty Clinic/Center
Medical Specialty
 261QM2500X Clinic/Center 050548 GA Primary

Other Identifiers

Identifier Type State Issuer
855356 01 GA BLUE CROSS BLUE SHIELD
000972408G 05 GA N/A

Frequently Asked Questions

What is SPECTRUM PEDIATRIC GRP's NPI number?
SPECTRUM PEDIATRIC GRP's NPI number is 1154447043.
Which doctor has NPI number 1154447043?
The doctor with NPI number 1154447043 is SPECTRUM PEDIATRIC GRP.
What is SPECTRUM PEDIATRIC GRP's practice address?
SPECTRUM PEDIATRIC GRP's practice address is 3104 CREEKSIDE VILLAGE DR, SUITE 504, KENNESAW, GA, 30144.
Which doctor practices at 3104 CREEKSIDE VILLAGE DR, SUITE 504, KENNESAW, GA, 30144?
SPECTRUM PEDIATRIC GRP practices at 3104 CREEKSIDE VILLAGE DR, SUITE 504, KENNESAW, GA, 30144.
What is SPECTRUM PEDIATRIC GRP's phone number?
SPECTRUM PEDIATRIC GRP's phone number is (770) 966-0778.
Who is (770) 966-0778?
(770) 966-0778 is the phone number for SPECTRUM PEDIATRIC GRP.
What is SPECTRUM PEDIATRIC GRP's specialty?
SPECTRUM PEDIATRIC GRP's specialty is Medical Specialty Clinic/Center.
What type of doctor is SPECTRUM PEDIATRIC GRP?
SPECTRUM PEDIATRIC GRP is a Medical Specialty Clinic/Center.
Is SPECTRUM PEDIATRIC GRP a Medical Specialty?
Yes, SPECTRUM PEDIATRIC GRP is a Medical Specialty.
Is SPECTRUM PEDIATRIC GRP still practicing?
Yes, SPECTRUM PEDIATRIC GRP is currently practicing.
Is SPECTRUM PEDIATRIC GRP accepting new patients?
SPECTRUM PEDIATRIC GRP may be accepting new patients. Please call their office at (770) 966-0778 to inquire about availability.
Is NPI 1154447043 still active?
Yes, NPI 1154447043 is currently active.
Where does SPECTRUM PEDIATRIC GRP practice?
SPECTRUM PEDIATRIC GRP practices in KENNESAW, GA.