Pediatric Cardiology Services

LBN: Pediatric Cardiology Services
Pediatric Cardiology Services is an health care organization with primary practice located at 500 Medical Center Blvd 340, Lawrenceville GA 30046-8708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Pediatric Cardiology Services can be contacted via phone (770) 995-6684, or through Ahmed, Kim via phone (770) 995-6684.

Contact Information

Primary practice address
500 Medical Center Blvd 340 Lawrenceville GA 30046-8708
Phone: (770) 995-6684
Fax: (770) 995-7631
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Kim RMM
Phone: (770) 995-6684

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 020857 Georgia

Profile Details

NPI number 1912281429
LBN Legal business name Pediatric Cardiology Services
DBA Doing business as
Authorized official Ahmed, Kim RMM
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2011
Last updated Oct 3rd, 2011 - 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 1912281429 NPPES
Georgia MEDICAID 700216987A

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