NPI 1003077876

Pediatric Cardiology Services LLC

Organisation Pediatric Cardiology Physician Gainesville, GA

Practice location

Address: 200 S Enota Dr NE Suite 380, Gainesville, GA 30501-3473
Phone: (770) 995-6684
Fax: (770) 995-7631
Mailing address: 500 Medical Center Blvd Suite 340, Lawrenceville, GA 30045-8708

Authorised official

Name: Kim Woody
Title: Practice Administrator
Phone: (770) 995-6684

Registered specialties

Pediatric Cardiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0202X Licence 043298 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1003077876
Entity type: Organization
NPI issued: 24 Jun 2008
Record last updated: 24 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.