Medlock Pediatrics Pc

LBN: Medlock Pediatrics Pc
Medlock Pediatrics Pc is an health care organization with primary practice located at 3497 Duluth Park Lane , Duluth GA 30096. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Medlock Pediatrics Pc can be contacted via phone (770) 813-9775, or through Batlle, Maria A via phone (770) 813-9775.

Contact Information

Primary practice address
3497 Duluth Park Lane Duluth GA 30096
Phone: (770) 813-9775
Fax: (770) 813-8976
Website:
Map and Directions
Authorized official contact:
Name: Batlle, Maria A Doctor of Medicine (MD)
Phone: (770) 813-9775

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1053416669
LBN Legal business name Medlock Pediatrics Pc
DBA Doing business as
Authorized official Batlle, Maria A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1053416669 NPPES
Georgia MEDICAID 85000772G

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