OAKHURST PEDIATRICS, LLC


Address: 317 W Hill St Ste 111, Suite 111, Decatur, GA 30030-4368
Phone: 4042020194

OAKHURST PEDIATRICS, LLC (NPI# 1295175909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295175909
Entity Type Organization
Organization Name OAKHURST PEDIATRICS, LLC
Practice Address 317 W Hill St Ste 111
Suite 111
Decatur
GA 30030-4368
Practice Telephone 4042020194
Mailing Telephone 4042020194
Enumeration Date 2013-06-26
Last Update Date 2013-06-26
Authorized Official Name DR. JESSICA MING-CHU DOYLE (OWNER)
Authorized Official Telephone 4042020194
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
64026 GA Ambulatory Health Care Facilities

Office Location

Street Address 317 W HILL ST STE 111
SUITE 111
City DECATUR
State GA
Zip Code 30030-4368

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City DECATUR
Zip Code 30030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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