Life Cycle Pediatrics

LBN: Life Cycle Pediatrics
Life Cycle Pediatrics is an health care organization with primary practice located at 107B Upper Riverdale Rd Sw , Riverdale GA 30274-2540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Life Cycle Pediatrics can be contacted via phone (770) 692-2800, or through Norwood, Dorsey via phone (770) 692-2800.

Contact Information

Primary practice address
107B Upper Riverdale Rd Sw Riverdale GA 30274-2540
Phone: (770) 692-2800
Fax: (770) 692-2804
Website:
Map and Directions
Authorized official contact:
Name: Norwood, Dorsey Doctor of Medicine (MD)
Phone: (770) 692-2800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 046192 Georgia

Profile Details

NPI number 1063688224
LBN Legal business name Life Cycle Pediatrics
DBA Doing business as
Authorized official Norwood, Dorsey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 18 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 1063688224 NPPES
Georgia MEDICAID 894980142A

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