Pediatric Pulmonology Of Central Ga

LBN: Pediatric Pulmonology Of Central Ga
Pediatric Pulmonology Of Central Ga is an health care organization with primary practice located at 1062 Forsyth St Suite 2 C, Macon GA 31201-8637. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as the primary health care specialty. Pediatric Pulmonology Of Central Ga can be contacted via phone (478) 755-0036, or through Cobb, Tammy R via phone (478) 755-0036.

Contact Information

Primary practice address
1062 Forsyth St Suite 2 C Macon GA 31201-8637
Phone: (478) 755-0036
Fax: (478) 755-1254
Website:
Map and Directions
Authorized official contact:
Name: Cobb, Tammy R
Phone: (478) 755-0036

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X

Profile Details

NPI number 1629356670
LBN Legal business name Pediatric Pulmonology Of Central Ga
DBA Doing business as
Authorized official Cobb, Tammy R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2011
Last updated Mar 20th, 2012 - about 12 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 1629356670 NPPES
Georgia MEDICAID 000670535J
Georgia Other 319745

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