Davis Grove Pediatrics Pllc

LBN: Davis Grove Pediatrics Pllc
Davis Grove Pediatrics Pllc is an health care organization with primary practice located at 204 Davis Grove Cir Ste 107 , Cary NC 27519-2581. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Davis Grove Pediatrics Pllc can be contacted via phone (919) 363-3427, or through Yan, Jim via phone (919) 452-4761.

Contact Information

Primary practice address
204 Davis Grove Cir Ste 107 Cary NC 27519-2581
Phone: (919) 363-3427
Fax: (919) 363-3437
Website:
Map and Directions
Authorized official contact:
Name: Yan, Jim PH.D.
Phone: (919) 452-4761

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008-00550 North Carolina

Profile Details

NPI number 1457718835
LBN Legal business name Davis Grove Pediatrics Pllc
DBA Doing business as
Authorized official Yan, Jim PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2016
Last updated Jan 15th, 2016 - about 10 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 1457718835 NPPES
North Carolina MEDICAID 5910793

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