Braselton Pediatrics, Llc

LBN: Braselton Pediatrics, Llc
Braselton Pediatrics, Llc is an health care organization with primary practice located at 1897 Highway 211 Nw Ste 100 , Hoschton GA 30548-3513. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty. Braselton Pediatrics, Llc can be contacted via phone (678) 820-7979, or through Butler, Dionne via phone (678) 455-8212.

Contact Information

Primary practice address
1897 Highway 211 Nw Ste 100 Hoschton GA 30548-3513
Phone: (678) 820-7979
Fax: (678) 820-7980
Website:
Map and Directions
Authorized official contact:
Name: Butler, Dionne Certified Pediatric Nurse Practitioner (CPNP)
Phone: (678) 455-8212

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1174278808
LBN Legal business name Braselton Pediatrics, Llc
DBA Doing business as
Authorized official Butler, Dionne Certified Pediatric Nurse Practitioner (CPNP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2022
Last updated Feb 22nd, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174278808 NPPES
Georgia MEDICAID 003113444E

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