Videlefsky, Neill

Videlefsky, Neill is an individual health care provider with primary practice located at 738 Old Norcross Rd , Lawrenceville GA 30046-4462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Videlefsky, Neill can be contacted via phone (404) 256-2593.

Contact Information

Primary practice address
738 Old Norcross Rd Lawrenceville GA 30046-4462
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 043298 Georgia

Profile Details

NPI number 1851300305
LBN Legal business name Videlefsky, Neill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 25th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851300305 NPPES
Georgia MEDICAID 00740891A

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