Demetrius Battle
Individual provider Active NPI Foster Care Agency · Lawrenceville, GA
NPI 1487076733 · NPPES record last updated Jan 6, 2014
Key facts
- NPI
- 1487076733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 45-4567251 (GA)
- Practice address
- 840 Gateshead LN
Lawrenceville, GA 30043-6668 - Phone
- (770) 558-9596
- NPI assigned
- Jan 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45-4567251 | GA | MD | Foster Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 45-4567251 | GA | Yes |
Addresses
Primary practice location
840 Gateshead LN
Lawrenceville, GA 30043-6668
Mailing address
840 Gateshead LN
Lawrenceville, GA 30043-6668
Phone (770) 558-9596
Other providers in Lawrenceville, GA
- Bates & Associates, Inc.
- Carmen L Bates
- Mika Lea Bates
- Zachary Linn Bates
- Victoria Elizabeth Batterton
- Marie Louise Baudean
- Joseph E Baughman
- Jessica Lauryn Baum
- Irene Bautista Lopez
- Breanne Massung Bautista
All providers in Lawrenceville, GA · Foster Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.