Black'S Pediatric Therapy, Inc.
LBN: Black'S Pediatric Therapy, Inc.
Black'S Pediatric Therapy, Inc. is an health care organization with primary practice located at 4502 Summer Gate Ct. , Gainesville GA 30506. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty.
Black'S Pediatric Therapy, Inc. can be contacted via phone (770) 378-5986, or through Black, Tina via phone (770) 378-5986.
Contact Information
Primary practice address
4502 Summer Gate Ct.
Gainesville GA 30506
Phone: (770) 378-5986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 003199 | Georgia |
Profile Details
| NPI number | 1477754067 |
|---|---|
| LBN Legal business name | Black'S Pediatric Therapy, Inc. |
| DBA Doing business as | |
| Authorized official | Black, Tina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477754067 | NPPES |
| Georgia | Other | 10038361 | AMERIGROUP- TINA |
| Georgia | Other | 307327 | AMERIGROUP- TINA |
| Georgia | Other | 10047944 | AMERIGROUP- TINA |
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