Graham Pediatrics Of Woodstock Llc

LBN: Graham Pediatrics Of Woodstock Llc
Graham Pediatrics Of Woodstock Llc is an health care organization with primary practice located at 105 Mirramont Lake Dr , Woodstock GA 30189-8214. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Graham Pediatrics Of Woodstock Llc can be contacted via phone (770) 485-9670, or through Graham, Fitzroy Henry via phone (770) 485-9670.

Contact Information

Primary practice address
105 Mirramont Lake Dr Woodstock GA 30189-8214
Phone: (770) 485-9670
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Fitzroy Henry Doctor of Medicine (MD)
Phone: (770) 485-9670

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48780 Georgia

Profile Details

NPI number 1316485717
LBN Legal business name Graham Pediatrics Of Woodstock Llc
DBA Doing business as
Authorized official Graham, Fitzroy Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 7 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 1316485717 NPPES
Georgia MEDICAID 000919663B

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