Lakeside Pediatrics, Llc
Pediatrics
Lakeside Pediatrics, Llc is a Cumming, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
204 Canton Rd, Cumming, Georgia - 30040-2304. They can be contacted on phone at
770-886-5437 and fax number 770-886-9717.
NPI number (Unique professional ID) for Lakeside Pediatrics, Llc is
1326317520 which was assigned by NPPES on 19 Dec, 2011 and it was last updated on 19 Dec, 2011.
Lakeside Pediatrics, Llc license number is
040865 for Pediatrics (208000000X) in Georgia.
Lakeside 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:
Lakeside Pediatrics, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Lakeside Pediatrics, Llc |
|---|
Business Address:
Lakeside 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 : | 204 Canton Rd
Cumming, GA, 30040-2304
United States |
|---|
| Phone Number : | 770-886-5437 |
|---|
| Fax Number : | 770-886-9717 |
|---|
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 : | 1326317520 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 19 Dec, 2011 |
|---|
| Last Updated On : | 19 Dec, 2011 |
|---|
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 : | Bobb Bagheri |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | PRESIDENT |
|---|
| Phone Number : | 770-886-5437 |
|---|
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 Lakeside Pediatrics, Llc are as mentioned. Primary taxonomy code for Lakeside Pediatrics, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 050209 | GA |
| 208000000X | Pediatrics | Yes | 040865 | GA |
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 : | 11565 Mountain Laurel Dr
Roswell, GA, 30075-1333
United States |
|---|
| Phone Number : | 770-886-5437 |
|---|
| Fax Number : | 770-886-9717 |
|---|
Business Location:
Patients can refer following map for directions to
Lakeside 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.