National Provider Identifier Database

PEDIATRIC CARDIOLOGY SERVICES LLC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

PEDIATRIC CARDIOLOGY SERVICES LLC
200 S ENOTA DR NE
SUITE 380
GAINESVILLE, GA30501-3473
Phone: 770-995-6684
Fax: 770-995-7631
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY SERVICES LLC

NPI Number 1003077876
Legal business name
LBN
PEDIATRIC CARDIOLOGY SERVICES LLC
Authorized official KIM WOODY - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/24/2008
Last updated 06/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 043298
  • GA Medicaid: 000326873G
  • GA Medicaid: 00740891A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PEDIATRIC CARDIOLOGY SERVICES LLC

There are currently no reviews for PEDIATRIC CARDIOLOGY SERVICES LLC


NPIdb - Home
v2.201