Shivashanker PC

Pediatrics Physician · Jonesboro, GA

Organization Active NPI

NPI number 1306083324

Practice location

7695 Highpoint Dr
Jonesboro, GA 30236
Phone
(404) 361-3100
Fax
(404) 361-3141

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NPI record

NPI
1306083324
Entity type
Organization (Type 2)
Enumeration date
January 13, 2009
Last updated
January 13, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 034881 GA

Mailing address

406 Forest Pkwy
Ste a
Forest Park, GA 30297-2190
Phone
(404) 361-3100
Fax
(404) 361-3141

Authorized official

Name
Mrs. Valencia W Flournoy
Title
Administrator
Phone
(404) 579-2188

Other names

  • Parkway Medical Clinic

About Shivashanker PC

Shivashanker PC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 7695 Highpoint Dr, Jonesboro, GA 30236. The NPI number 1306083324 was assigned on January 13, 2009 and the record was last updated on January 13, 2009.

Shivashanker PC lists a license in the registry: #034881 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Valencia W Flournoy, Administrator.

Frequently asked questions

What is the NPI number of Shivashanker PC?

The NPI number is 1306083324.

What is the phone number of Shivashanker PC?

The phone number listed for the practice location is (404) 361-3100.

Where is Shivashanker PC located?

7695 Highpoint Dr, Jonesboro, GA 30236.

What is the taxonomy code for Shivashanker PC?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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