OrganizationActive
Pediatric Neurology and Epilepsy Center
NPI 1346510013 · Neurology with Special Qualifications in Child Neurology Physician · Lawrenceville, GA
Provider details
- NPI number
- 1346510013
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aijaz Khalid, Physician(770) 596-4631
- License
- 38271 (GA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 38271 (GA)
Allopathic & Osteopathic Physicians
Practice location
170 Camden Hill Rd
A
Lawrenceville, GA 30046-7418
Phone: (770) 596-4631
Fax: (678) 990-8019
Approximate (ZIP-level) locationGet directions
Mailing address
170 Camden Hill Rd
Lawrenceville, GA 30046-7418
Registry dates
- Enumerated
- 2012-01-11
- Last updated
- 2012-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.