Southside Pediatrics

LBN: Southside Pediatrics
Southside Pediatrics is an health care organization with primary practice located at 151 North Park Trail Suite A, Stockbridge GA 30281-7373. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southside Pediatrics can be contacted via phone (678) 565-3300, or through Iyer, Ravi S via phone (678) 565-3300.

Contact Information

Primary practice address
151 North Park Trail Suite A Stockbridge GA 30281-7373
Fax: (678) 565-3311
Website:
Authorized official contact:
Name: Iyer, Ravi S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042292 Georgia

Profile Details

NPI number 1659580215
LBN Legal business name Southside Pediatrics
DBA Doing business as
Authorized official Iyer, Ravi S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Oct 14th, 2010 - about 14 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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