Dacula Pediatrics, Llc
LBN: Dacula Pediatrics, Llc
Dacula Pediatrics, Llc is an health care organization with primary practice located at 3625 Braselton Hwy Suite 202, Dacula GA 30019-1014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Dacula Pediatrics, Llc can be contacted via phone (770) 856-2363, or through Kaur, Sarvpreet via phone (678) 517-5607.
Contact Information
Primary practice address
3625 Braselton Hwy Suite 202
Dacula GA 30019-1014
Phone: (770) 856-2363
Fax: (770) 809-5055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 058358 | Georgia |
Profile Details
| NPI number | 1033655576 |
|---|---|
| LBN Legal business name | Dacula Pediatrics, Llc |
| DBA Doing business as | |
| Authorized official | Kaur, Sarvpreet Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2017 |
| Last updated | Jan 8th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033655576 | NPPES |
| Georgia | Other | 1629191465 | PROVIDER NPI NUMBER |
| Georgia | MEDICAID | 904800152B | PROVIDER NPI NUMBER |
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