Brannon Pediatric Services, Inc.

LBN: Brannon Pediatric Services, Inc.
Brannon Pediatric Services, Inc. is an health care organization with primary practice located at 634 Tommy Aaron Dr , Gainesville GA 30506-1504. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Brannon Pediatric Services, Inc. can be contacted via phone (770) 503-7337, or through Brannon, Tammy C via phone (770) 503-7337.

Contact Information

Primary practice address
634 Tommy Aaron Dr Gainesville GA 30506-1504
Phone: (770) 503-7337
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brannon, Tammy C
Phone: (770) 503-7337

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X Georgia

Profile Details

NPI number 1356694806
LBN Legal business name Brannon Pediatric Services, Inc.
DBA Doing business as
Authorized official Brannon, Tammy C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2012
Last updated Mar 25th, 2014 - about 12 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 1356694806 NPPES
Georgia MEDICAID 1407055692
Georgia MEDICAID 1770653297
Georgia MEDICAID 1225346299
Georgia MEDICAID 1811019326
Georgia MEDICAID 1174645725
Georgia MEDICAID 1679639355

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