Mama Doc Pediatrics, Llc

LBN: Mama Doc Pediatrics, Llc
Mama Doc Pediatrics, Llc is an health care organization with primary practice located at 400 East Grady Street , Statesboro GA 30458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Mama Doc Pediatrics, Llc can be contacted via phone (912) 871-5437, or through Penn, Elizabeth Logan via phone (912) 871-5437.

Contact Information

Primary practice address
400 East Grady Street Statesboro GA 30458
Phone: (912) 871-5437
Fax: (912) 623-2037
Website:
Map and Directions
Authorized official contact:
Name: Penn, Elizabeth Logan Doctor of Medicine (MD)
Phone: (912) 871-5437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67374 Georgia

Profile Details

NPI number 1477009181
LBN Legal business name Mama Doc Pediatrics, Llc
DBA Doing business as
Authorized official Penn, Elizabeth Logan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 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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