Our Village Pediatrics, Llc

LBN: Our Village Pediatrics, Llc
Our Village Pediatrics, Llc is an health care organization with primary practice located at 115 Academy St , Canton GA 30114-2860. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Our Village Pediatrics, Llc can be contacted via phone (470) 389-4970, or through Glaeser, Justin via phone (470) 389-4970.

Contact Information

Primary practice address
115 Academy St Canton GA 30114-2860
Phone: (470) 389-4970
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glaeser, Justin
Phone: (470) 389-4970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1255952347
LBN Legal business name Our Village Pediatrics, Llc
DBA Doing business as
Authorized official Glaeser, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2020
Last updated Apr 30th, 2020 - about 6 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.

Request for update

Popular Providers