Pendley, Julia Nicole
Pendley, Julia Nicole is an sole proprietor health care provider with primary practice located at 6470 Ga Highway 400 , Cumming GA 30028-3460. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pendley, Julia Nicole can be contacted via phone (678) 888-1590.Contact Information
Primary practice address
6470 Ga Highway 400
Cumming GA 30028-3460
Phone: (678) 888-1590
Fax: (678) 731-1590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT009627 | Georgia |
Profile Details
| NPI number | 1508180258 |
|---|---|
| LBN Legal business name | Pendley, Julia Nicole |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2010 |
| Last updated | Feb 10th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508180258 | NPPES |
| Georgia | MEDICAID | 003108614C |
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