Provider Demographics
NPI:1104251404
Name:HB PEDIATRICS INC
Entity type:Organization
Organization Name:HB PEDIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATSITADZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-923-6400
Mailing Address - Street 1:3957 HOLCOMB BRIDGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-5244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3957 HOLCOMB BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-5244
Practice Address - Country:US
Practice Address - Phone:770-449-9334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty