Crescent Pediatrics
LBN: Crescent Pediatrics
Crescent Pediatrics is an health care organization with primary practice located at 2925 Premiere Pkwy Suite 140, Duluth GA 30097. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Crescent Pediatrics can be contacted via phone (770) 495-6222, or through Moneit, William via phone (770) 495-6222.
Contact Information
Primary practice address
2925 Premiere Pkwy Suite 140
Duluth GA 30097
Phone: (770) 495-6222
Fax: (770) 495-9959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 034204 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 034204 | Georgia |
Profile Details
| NPI number | 1851494447 |
|---|---|
| LBN Legal business name | Crescent Pediatrics |
| DBA Doing business as | |
| Authorized official | Moneit, William Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Feb 1st, 2011 - about 14 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 | 1851494447 | NPPES |
| Georgia | MEDICAID | 000449611C | |
| Georgia | Other | 1207077 | |
| Georgia | Other | 4308928 | |
| Georgia | Other | 72291 | |
| Georgia | Other | 313452 | |
| Georgia | Other | 52062819002 | |
| Georgia | MEDICAID | 85001694G | |
| Georgia | Other | 10037067 | |
| Georgia | Other | 912801 |
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