Life Cycle Pediatrics, Llc

LBN: Life Cycle Pediatrics, Llc
Life Cycle Pediatrics, Llc is an health care organization with primary practice located at 150 Medical Way Ste B , Riverdale GA 30274-2533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Life Cycle Pediatrics, Llc can be contacted via phone (770) 692-2800, or through Williams, Gwendolyn via phone (404) 228-0601.

Contact Information

Primary practice address
150 Medical Way Ste B Riverdale GA 30274-2533
Phone: (770) 692-2800
Fax: (770) 692-2804
Website:
Map and Directions
Authorized official contact:
Name: Williams, Gwendolyn
Phone: (404) 228-0601

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1003584327
LBN Legal business name Life Cycle Pediatrics, Llc
DBA Doing business as
Authorized official Williams, Gwendolyn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 3 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 1003584327 NPPES
Georgia MEDICAID 1578526539

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