Cornerstone Pediatrics LLC
Pediatrics Physician · Dacula, GA
Practice location
2700 Braselton Hwy Ste 1Dacula, GA 30019-3207
- Phone
- (678) 543-9400
NPI record
- NPI
- 1295233211
- Entity type
- Organization (Type 2)
- Enumeration date
- January 24, 2018
- Last updated
- January 24, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
043986 | GA |
| Pediatrics Physician | 208000000X |
RN166999 | GA |
| Pediatrics Physician | 208000000X |
RN170835 | GA |
Authorized official
- Name
- Jennifer Cantrell, CPNP
- Title
- Owner
- Phone
- (404) 394-8001
About Cornerstone Pediatrics LLC
Cornerstone Pediatrics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2700 Braselton Hwy Ste 1, Dacula, GA 30019-3207. The NPI number 1295233211 was assigned on January 24, 2018 and the record was last updated on January 24, 2018.
Cornerstone Pediatrics LLC lists 3 licenses in the registry: #043986 (GA) for Pediatrics Physician; #RN166999 (GA) for Pediatrics Physician; #RN170835 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Jennifer Cantrell, CPNP, Owner.
Frequently asked questions
What is the NPI number of Cornerstone Pediatrics LLC?
The NPI number is 1295233211.
What is the phone number of Cornerstone Pediatrics LLC?
The phone number listed for the practice location is (678) 543-9400.
Where is Cornerstone Pediatrics LLC located?
2700 Braselton Hwy Ste 1, Dacula, GA 30019-3207.
What is the taxonomy code for Cornerstone Pediatrics LLC?
The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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