West Vinings Pediatric Group, P.C.

LBN: West Vinings Pediatric Group, P.C.
West Vinings Pediatric Group, P.C. is an health care organization with primary practice located at 3644 Highlands Pkwy Se , Smyrna GA 30082-5184. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. West Vinings Pediatric Group, P.C. can be contacted via phone (404) 446-3960, or through White, Crystal L/ via phone (404) 446-3960.

Contact Information

Primary practice address
3644 Highlands Pkwy Se Smyrna GA 30082-5184
Phone: (404) 446-3960
Fax: (404) 446-3965
Website:
Map and Directions
Authorized official contact:
Name: White, Crystal L/ Doctor of Medicine (MD)
Phone: (404) 446-3960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050747 Georgia

Profile Details

NPI number 1447699061
LBN Legal business name West Vinings Pediatric Group, P.C.
DBA Doing business as
Authorized official White, Crystal L/ Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2013
Last updated Jun 17th, 2013 - about 11 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 1447699061 NPPES
Georgia MEDICAID 683835419D

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