Dahlonega Pediatrics

LBN: Dahlonega Pediatric And Adolescent Medicine
Dahlonega Pediatrics is an health care organization with primary practice located at 1055 North Grove St. , Dahlonega GA 30533. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Dahlonega Pediatric And Adolescent Medicine can be contacted via phone (706) 864-6700, or through Corn, Stephanie via phone (706) 864-6700.

Contact Information

Primary practice address
1055 North Grove St. Dahlonega GA 30533
Phone: (706) 864-6700
Fax: (706) 864-2599
Website:
Map and Directions
Authorized official contact:
Name: Corn, Stephanie
Phone: (706) 864-6700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X RN068135 Georgia
Ambulatory Health Care Facilities / Rural Health 261QR1300X 11-8910 Georgia

Profile Details

NPI number 1427333095
LBN Legal business name Dahlonega Pediatric And Adolescent Medicine
DBA Doing business as Dahlonega Pediatrics
Authorized official Corn, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2011
Last updated May 4th, 2015 - about 10 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 1427333095 NPPES
Georgia MEDICAID 000548369C

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