Wellstar Medical Group East Paulding Pediatrics

LBN: Wellstar Medical Group East Paulding Pediatrics
Wellstar Medical Group East Paulding Pediatrics is an health care organization with primary practice located at 51 Hiram Dr , Hiram GA 30141-1844. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Wellstar Medical Group East Paulding Pediatrics can be contacted via phone (678) 945-8300, or through Davillier, Kelly via phone (678) 945-8320.

Contact Information

Primary practice address
51 Hiram Dr Hiram GA 30141-1844
Phone: (678) 945-8300
Fax: (770) 445-2020
Website:
Map and Directions
Authorized official contact:
Name: Davillier, Kelly Doctor of Medicine (MD)
Phone: (678) 945-8320

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024912 Louisiana

Profile Details

NPI number 1396738381
LBN Legal business name Wellstar Medical Group East Paulding Pediatrics
DBA Doing business as
Authorized official Davillier, Kelly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 25th, 2005
Last updated Dec 8th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396738381 NPPES
Louisiana MEDICAID 1420565
Louisiana MEDICAID 1899964650A

Popular Providers