Impact Physician Group, Pediatrics Llc
Pediatrics
Impact Physician Group, Pediatrics Llc is a Lake Charles, Louisiana based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2720 Rue De Jardin Ste 100, Lake Charles, Louisiana - 70605-4050. They can be contacted on phone at
260-407-8009 and fax number 260-407-8009.
NPI number (Unique professional ID) for Impact Physician Group, Pediatrics Llc is
1689290603 which was assigned by NPPES on 25 Jun, 2020 and it was last updated on 15 Mar, 2022.
Impact Physician Group, Pediatrics Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Impact Physician Group, Pediatrics Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Impact Physician Group, Pediatrics Llc |
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Business Address:
Impact Physician Group, Pediatrics Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2720 Rue De Jardin Ste 100
Lake Charles, LA, 70605-4050
United States |
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| Phone Number : | 260-407-8009 |
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| Fax Number : | 260-407-8009 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689290603 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 25 Jun, 2020 |
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| Last Updated On : | 15 Mar, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Paul Miller |
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| Official Title or Position : | CEO |
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| Phone Number : | 678-967-5599 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Impact Physician Group, Pediatrics Llc are as mentioned. Primary taxonomy code for Impact Physician Group, Pediatrics Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 21 Eastbrook Bnd Ste 218
Peachtree City, GA, 30269-1546
United States |
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| Phone Number : | 678-967-5599 |
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Business Location:
Patients can refer following map for directions to
Impact Physician Group, Pediatrics Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.