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Contact Information

AUGUST PEDIATRICS, LLC
123 N 19TH ST STE 302
MIDDLESBORO, KY40965
 Phone: 606-302-7036
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AUGUST PEDIATRICS, LLC

NPI # 1558827774
LBN Legal business name AUGUST PEDIATRICS, LLC
Authorized official MATTHEW BROCK - (CEO & OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2019
Last updated 02/13/2019 - About 7 years ago
Identifiers
Other 0123456789 MI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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