The Kids Specialist Henry Pediatrics Llc

LBN: The Kids Specialist Henry Pediatrics Llc
The Kids Specialist Henry Pediatrics Llc is an health care organization with primary practice located at 1215 Eagles Landing Pkwy Suite 108 & 109, Stockbridge GA 30281-7279. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. The Kids Specialist Henry Pediatrics Llc can be contacted via phone (678) 289-8184, or through Johnson, Annie via phone (678) 289-8184.

Contact Information

Primary practice address
1215 Eagles Landing Pkwy Suite 108 & 109 Stockbridge GA 30281-7279
Phone: (678) 289-8184
Fax: (678) 565-9856
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Annie
Phone: (678) 289-8184

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 045647 Georgia

Profile Details

NPI number 1174838551
LBN Legal business name The Kids Specialist Henry Pediatrics Llc
DBA Doing business as
Authorized official Johnson, Annie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2010
Last updated Aug 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174838551 NPPES
Georgia MEDICAID 00892746C
Georgia MEDICAID 00813942B

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