Vital Pediatrics For Complex Kids Llc

LBN: Vital Pediatrics For Complex Kids Llc
Vital Pediatrics For Complex Kids Llc is an health care organization with primary practice located at 1086 Arbor Trce Ne , Brookhaven GA 30319-5378. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Vital Pediatrics For Complex Kids Llc can be contacted via phone (404) 310-3252, or through Shearer, Patricia via phone (404) 310-3252.

Contact Information

Primary practice address
1086 Arbor Trce Ne Brookhaven GA 30319-5378
Phone: (404) 310-3252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shearer, Patricia Doctor of Medicine (MD)
Phone: (404) 310-3252

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X

Profile Details

NPI number 1235726837
LBN Legal business name Vital Pediatrics For Complex Kids Llc
DBA Doing business as
Authorized official Shearer, Patricia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 4 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 1235726837 NPPES
Georgia Other 80510 LICENSE

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