Pediatric Cardiology Services Llc
Pediatric Cardiology
Pediatric Cardiology Services Llc is a Gainesville, Georgia based Pediatric center with medical specialization in
Pediatric Cardiology.
It is located at
200 S Enota Dr Ne, Suite 380, Gainesville, Georgia - 30501-3473. They can be contacted on phone at
770-995-6684 and fax number 770-995-7631.
NPI number (Unique professional ID) for Pediatric Cardiology Services Llc is
1003077876 which was assigned by NPPES on 24 Jun, 2008 and it was last updated on 24 Jun, 2008.
Pediatric Cardiology Services Llc license number is
043298 for Pediatrics Pediatric Cardiology (2080P0202X) in Georgia.
Pediatric Cardiology Services Llc provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Pediatric Cardiology Services Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Pediatric Cardiology Services Llc |
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Business Address:
Pediatric Cardiology Services 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 : | 200 S Enota Dr Ne, Suite 380
Gainesville, GA, 30501-3473
United States |
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| Phone Number : | 770-995-6684 |
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| Fax Number : | 770-995-7631 |
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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 : | 1003077876 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Jun, 2008 |
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| Last Updated On : | 24 Jun, 2008 |
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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 : | Kim Woody |
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| Authorized Official Credential : | RMM |
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| Official Title or Position : | PRACTICE ADMINISTRATOR |
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| Phone Number : | 770-995-6684 |
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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 Pediatric Cardiology Services Llc are as mentioned. Primary taxonomy code for Pediatric Cardiology Services Llc is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 043298 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Cardiology Services Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00740891A | MEDICAID | GA | |
| 000326873G | MEDICAID | 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 : | 500 Medical Center Blvd, Suite 340
Lawrenceville, GA, 30045-8708
United States |
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| Phone Number : | 770-995-6684 |
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| Fax Number : | 770-995-7631 |
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Business Location:
Patients can refer following map for directions to
Pediatric Cardiology Services 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.