Pediatric Cardiology Services Llc

LBN: Pediatric Cardiology Services Llc
Pediatric Cardiology Services Llc is an health care organization with primary practice located at 1380 Milstead Ave Ne Suite J, Conyers GA 30012-3864. 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
1380 Milstead Ave Ne Suite J Conyers GA 30012-3864
Phone: (770) 995-6684
Fax: (770) 995-7631
Website:
Map and Directions
Authorized official contact:
Name: Woody, Kim RMM
Phone: (770) 995-6684

Health care specialties

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

Profile Details

NPI number 1467613232
LBN Legal business name Pediatric Cardiology Services Llc
DBA Doing business as
Authorized official Woody, Kim RMM
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 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 1467613232 NPPES
Georgia MEDICAID 00740891A
Georgia MEDICAID 000326873G

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