Peachtree Pediatric Clinic, P.A.

LBN: Peachtree Pediatrics, Pllc
Peachtree Pediatric Clinic, P.A. is an health care organization with primary practice located at 125 Medical Park Ln Suite F, Murphy NC 28906-6920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Peachtree Pediatrics, Pllc can be contacted via phone (828) 837-2128, or through Waggoner, Kathryn Gibson via phone (828) 837-2128.

Contact Information

Primary practice address
125 Medical Park Ln Suite F Murphy NC 28906-6920
Phone: (828) 837-2128
Fax: (828) 837-6244
Website:
Map and Directions
Authorized official contact:
Name: Waggoner, Kathryn Gibson Doctor of Osteopathy (DO)
Phone: (828) 837-2128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1487782942
LBN Legal business name Peachtree Pediatrics, Pllc
DBA Doing business as Peachtree Pediatric Clinic, P.A.
Authorized official Waggoner, Kathryn Gibson Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Sep 12th, 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 1487782942 NPPES
North Carolina MEDICAID 89012C7

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