Eagles Landing Pediatric Associates Llc in Stockbridge - Primary Care
Eagles Landing Pediatric Associates Llc - NPI 1740407550
Eagles Landing Pediatric Associates Llc is a Primary Care in Stockbridge, Georgia. Eagles Landing Pediatric Associates Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Eagles Landing Pediatric Associates Llc is 1740407550. The last update date is 2020-08-22.
Eagles Landing Pediatric Associates Llc's current location address is 1101 Hospital Dr, Stockbridge, Georgia. You can contact this provider via phone number 6782890103 and fax number 6782890171. The mailing address for Eagles Landing Pediatric Associates Llc is 1101 Hospital Dr, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagles Landing Pediatric Associates Llc |
|---|---|
| Address | 1101 Hospital Dr, Stockbridge, Georgia |
| Phone Number | 6782890103 |
| Fax Number | 6782890171 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNERPHYSI |
|---|---|
| Authorized Official Name | Leard Wayne Steven |
| Credentials | MD |
| Telephone Number | 6782890103 |
NPI Number Detail
| NPI Number | 1740407550 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1101 Hospital Dr |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302819075 |
| Phone Number | 6782890103 |
| Fax Number | 6782890171 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 40449 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the unique identifier code issued to Eagles Landing Pediatric Associates Llc by the Centers for Medicare & Medicaid Services?
The Eagles Landing Pediatric Associates Llc has been assigned the NPI (National Provider Identifier) 1740407550. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eagles Landing Pediatric Associates Llc?
The Eagles Landing Pediatric Associates Llc is situated at 1101 Hospital Dr, in the city of Stockbridge, state of GA, with the zip code 302819075.
What is Eagles Landing Pediatric Associates Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eagles Landing Pediatric Associates Llc is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.
When did the Eagles Landing Pediatric Associates Llc receive its 1740407550?
The Eagles Landing Pediatric Associates Llc was issued its 1740407550 on 2007-04-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Eagles Landing Pediatric Associates Llc most recently updated?
The details pertaining to the Eagles Landing Pediatric Associates Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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