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GREEN WILLOW PEDIATRICS NPI 1174837298


NPI Information

NPI: 1174837298
Provider Name: GREEN WILLOW PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D1011812

Address:
3030 MCEVER RD
BUILDING 1, SUITE 130
GAINESVILLE, GA
ZIP 30504
Phone: (678) 450-0747
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GREEN WILLOW PEDIATRICS is a pediatrics in Gainesville, 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. GREEN WILLOW PEDIATRICS NPI is 1174837298. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 MCEVER RD
BUILDING 1, SUITE 130
GAINESVILLE, GA
ZIP 30504-579
Phone: (678) 450-0747
Fax: (678) 450-0779

The provider's authorized official is Seema Bisht-nadler .
The authorized official title is Owner and has the following contact phone number (678) 450-0747.

The CLIA number assigned to this NPI record is 11D1011812 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2010 and was last updated on 7/30/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics046361GEORGIAYes

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: 4/28/2024

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