National Provider Identifier Database

PEDIATRIC CARDIOLOGY SERVICES
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
500 MEDICAL CENTER BLVD
340
LAWRENCEVILLE, GA30046-8708
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

NPI Number 1912281429
Legal business name
LBN
PEDIATRIC CARDIOLOGY SERVICES
Authorized official KIM AHMED - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/03/2011
Last updated 10/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 020857
  • GA Medicaid: 700216987A

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

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