Pediatrics At Whitlock P.C.

LBN: Pediatrics At Whitlock P.C.
Pediatrics At Whitlock P.C. is an health care organization with primary practice located at 611 Campbell Hill St Nw Ste 103 , Marietta GA 30060-1386. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pediatrics At Whitlock P.C. can be contacted via phone (770) 499-8909, or through Poold, Lawrence Vincent via phone (770) 499-8909.

Contact Information

Primary practice address
611 Campbell Hill St Nw Ste 103 Marietta GA 30060-1386
Fax: (770) 499-8911
Website:
Authorized official contact:
Name: Poold, Lawrence Vincent

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 047011 Georgia

Profile Details

NPI number 1184891400
LBN Legal business name Pediatrics At Whitlock P.C.
DBA Doing business as
Authorized official Poold, Lawrence Vincent
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Jul 7th, 2014 - about 10 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 1184891400 NPPES
Georgia Other 1003983693 DR. STEPHANIE L. POOLE'S NPI
Georgia MEDICAID 000949044D DR. STEPHANIE L. POOLE'S NPI

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