Kids & Teens Primary Healthcare
LBN: Kids & Teens Primary Healthcare
Kids & Teens Primary Healthcare is an health care organization with primary practice located at 2785 Lawrenceville Hwy Suite 207, Decatur GA 30033. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Kids & Teens Primary Healthcare can be contacted via phone (770) 621-0245, or through Cotton, Byron Cedric via phone (770) 621-0245.
Contact Information
Primary practice address
2785 Lawrenceville Hwy Suite 207
Decatur GA 30033
Phone: (770) 621-0245
Fax: (770) 621-0819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 041098 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 041098 | Georgia |
Profile Details
| NPI number | 1346419710 |
|---|---|
| LBN Legal business name | Kids & Teens Primary Healthcare |
| DBA Doing business as | |
| Authorized official | Cotton, Byron Cedric MD, FAAP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 29th, 2008 |
| Last updated | Sep 1st, 2009 - about 15 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 | 1346419710 | NPPES |
| Georgia | MEDICAID | 000679731N |
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