Health Care

LBN: Dekalb Pediatric Associates Pc
Health Care is an health care organization with primary practice located at 1390 Montreal Rd Ste 180 , Tucker GA 30084-8187. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dekalb Pediatric Associates Pc can be contacted via phone (404) 446-4600, or through Homer, Ronald A via phone (404) 446-4600.

Contact Information

Primary practice address
1390 Montreal Rd Ste 180 Tucker GA 30084-8187
Phone: (404) 446-4600
Fax: (404) 446-4601
Website:
Map and Directions
Authorized official contact:
Name: Homer, Ronald A Doctor of Medicine (MD)
Phone: (404) 446-4600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050105 Georgia

Profile Details

NPI number 1376829911
LBN Legal business name Dekalb Pediatric Associates Pc
DBA Doing business as Health Care
Authorized official Homer, Ronald A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 15 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 1376829911 NPPES
Georgia MEDICAID 000940266K

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