Pediatric Cardiology Services, Llc

LBN: Pediatric Cardiology Services, Llc
Pediatric Cardiology Services, Llc is an health care organization with primary practice located at 500 Medical Center Blvd Suite 340, Lawrenceville GA 30045-8708. 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, Llc can be contacted via phone (770) 995-6684, or through Woody, Kim via phone (770) 995-6684.

Contact Information

Primary practice address
500 Medical Center Blvd Suite 340 Lawrenceville GA 30045-8708
Phone: (770) 995-6684
Fax: (770) 995-7631
Website:
Map and Directions
Authorized official contact:
Name: Woody, Kim
Phone: (770) 995-6684

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 043298 Georgia

Profile Details

NPI number 1013177310
LBN Legal business name Pediatric Cardiology Services, Llc
DBA Doing business as
Authorized official Woody, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - about 16 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 1013177310 NPPES
Georgia MEDICAID 00740891A
Georgia MEDICAID 000326873G

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