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PROMISE PEDIATRICS LLC NPI 1548496169


NPI Information

NPI: 1548496169
Provider Name: PROMISE PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0987497

Address:
375 BOYNTON DR
RINGGOLD, GA
ZIP 30736
Phone: (706) 937-3331
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PROMISE PEDIATRICS LLC is a pediatrics in Ringgold, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PROMISE PEDIATRICS LLC NPI is 1548496169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

375 BOYNTON DR
RINGGOLD, GA
ZIP 30736-737
Phone: (706) 937-3331
Fax: (706) 937-3346

The provider's authorized official is Christine Baughman .
The authorized official title is Office Manager and has the following contact phone number (706) 937-3331.

The CLIA number assigned to this NPI record is 11D0987497 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 6/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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