Gc Duluth Pediatrics, Inc.

LBN: Gc Duluth Pediatrics, Inc.
Gc Duluth Pediatrics, Inc. is an health care organization with primary practice located at 3435 Duluth Park Ln Ste A , Duluth GA 30096-3259. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Gc Duluth Pediatrics, Inc. can be contacted via phone (678) 417-0407, or through Song, Samuel via phone (678) 417-0407.

Contact Information

Primary practice address
3435 Duluth Park Ln Ste A Duluth GA 30096-3259
Phone: (678) 417-0407
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Song, Samuel
Phone: (678) 417-0407

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 049206 Georgia

Profile Details

NPI number 1922374297
LBN Legal business name Gc Duluth Pediatrics, Inc.
DBA Doing business as
Authorized official Song, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2012
Last updated Mar 30th, 2012 - about 13 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 1922374297 NPPES
Georgia MEDICAID 442074795A

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