Provider Demographics
NPI:1316379910
Name:HB PEDIATRICS, INC.
Entity Type:Organization
Organization Name:HB PEDIATRICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATSITADZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-923-6400
Mailing Address - Street 1:PO BOX 4367
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31208-4367
Mailing Address - Country:US
Mailing Address - Phone:770-449-9334
Mailing Address - Fax:770-449-3181
Practice Address - Street 1:3957 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-5254
Practice Address - Country:US
Practice Address - Phone:770-449-9334
Practice Address - Fax:770-449-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty