Angel Oak Pediatrics Llc

LBN: Angel Oak Pediatrics Llc
Angel Oak Pediatrics Llc is an health care organization with primary practice located at 1834 Bluebird Rd Ofc 7 , Johns Island SC 29455-8308. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Angel Oak Pediatrics Llc can be contacted via phone (843) 894-3490, or through Johnston, Kelli E via phone (248) 760-4587.

Contact Information

Primary practice address
1834 Bluebird Rd Ofc 7 Johns Island SC 29455-8308
Phone: (843) 894-3490
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Kelli E Doctor of Osteopathy (DO)
Phone: (248) 760-4587

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1265207229
LBN Legal business name Angel Oak Pediatrics Llc
DBA Doing business as
Authorized official Johnston, Kelli E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2023
Last updated Mar 30th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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