PEDIATRIC CARDIOLOGY SERVICES LLC NPI 1013177310

NPI Information

PEDIATRIC CARDIOLOGY SERVICES, LLC is a pediatric cardiology pediatrics in Lawrenceville, GA. The provider is 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. PEDIATRIC CARDIOLOGY SERVICES, LLC NPI is 1013177310. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 MEDICAL CENTER BLVD
SUITE 340
LAWRENCEVILLE, GA
ZIP 30045-708
Phone: (770) 995-6684
Fax: (770) 995-7631

The provider's authorized official is Kim Woody .
The authorized official title is Practice Administrator and has the following contact phone number (770) 995-6684.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.