Stay Well Pediatrics Llc

LBN: Stay Well Pediatrics Llc
Stay Well Pediatrics Llc is an health care organization with primary practice located at 5139 Jimmy Carter Blvd Suite # 205, Norcross GA 30093-1680. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Stay Well Pediatrics Llc can be contacted via phone (678) 248-2350, or through Soni, Neha via phone (678) 248-2350.

Contact Information

Primary practice address
5139 Jimmy Carter Blvd Suite # 205 Norcross GA 30093-1680
Phone: (678) 248-2350
Fax: (678) 404-8435
Website:
Map and Directions
Authorized official contact:
Name: Soni, Neha Doctor of Medicine (MD)
Phone: (678) 248-2350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 060096 Georgia

Profile Details

NPI number 1669756292
LBN Legal business name Stay Well Pediatrics Llc
DBA Doing business as
Authorized official Soni, Neha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 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 1669756292 NPPES
Georgia MEDICAID 328093387A

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