PEDIATRIC ASSOCITAES OF LAWRENCEVILLE LLC NPI 1841580420

NPI Information

NPI: 1841580420
Provider Name: PEDIATRIC ASSOCITAES OF LAWRENCEVILLE, LLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
755 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 277-6725
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PEDIATRIC ASSOCITAES OF LAWRENCEVILLE, LLC is a pediatrics nurse practitioner in Lawrenceville, GA. PEDIATRIC ASSOCITAES OF LAWRENCEVILLE, LLC NPI is 1841580420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

755 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30046-317
Phone: (770) 277-6725

The provider's authorized official is Anuradha Sheth .
The authorized official title is Owner and has the following contact phone number (770) 277-6725.

The enumeration date for this NPI number is 4/15/2011 and was last updated on 4/15/2011.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	RN173289	GEORGIA	Yes

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

NPI Synchronization or Removal

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