NPI age
8 years
Enumerated 2017-07-11
● Active Type 2 · Organization
Kids-Doc-On-Wheels
Kids-Doc-On-Wheels is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson-Phillips
Board Of Directors
Last NPPES update
2017-12-14
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
8 years
↓ 10 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
4112 E Ponce De Leon Ave # 2
Clarkston, GA 300218106
Mailing address
4112 E Ponce De Leon Ave # 2
Clarkston, GA 300218106
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4112 E Ponce De Leon Ave # 2
Clarkston, GA 300218106
Authorized official
Lynette R Wilson-Phillips, MD
Board Of Directors
📞 4045742512
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003193946A |
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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