Prime Pediatrics Pc

LBN: Prime Pediatrics Pc
Prime Pediatrics Pc is an health care organization with primary practice located at 1610 Broadrick Dr , Dalton GA 30720-3012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Prime Pediatrics Pc can be contacted via phone (706) 279-1994, or through Chadwick, Debbie W via phone (706) 279-1994.

Contact Information

Primary practice address
1610 Broadrick Dr Dalton GA 30720-3012
Phone: (706) 279-1994
Fax: (706) 279-9229
Website:
Map and Directions
Authorized official contact:
Name: Chadwick, Debbie W
Phone: (706) 279-1994

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 37896 Georgia

Profile Details

NPI number 1053578450
LBN Legal business name Prime Pediatrics Pc
DBA Doing business as
Authorized official Chadwick, Debbie W
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 17 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 1053578450 NPPES
Georgia MEDICAID 000910214A
Georgia MEDICAID 000572525C
Georgia MEDICAID 964266319A
Georgia MEDICAID 803486775A

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