An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
taxonomy 261QM2500X
Identifiers
Type
Value
Notes
01 (GA)
300035885C
MEDICAID PAYEE
01 (GA)
300035885A
MEDICAID PAYEE
01 (GA)
300035885B
MEDICAID PAYEE
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Children's Healthcare of West Georgia
Type code 5recorded 2006-07-30
Practice context
Multi-provider organization.
8 individual providers on file at this primary address.
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