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
Fax: (770) 809-5055
Website:
Authorized official contact:
Name: Kaur, Sarvpreet Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033655576 NPPES
Georgia Other 1629191465 PROVIDER NPI NUMBER
Georgia MEDICAID 904800152B PROVIDER NPI NUMBER

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