Organization
HOMETOWN PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY ELLIS PULLEN FNP (OWNER)
(850) 688-0943
Entity
Organization
Contact information
Practice address
108 N 4TH ST, VIENNA, GA 31092-1115
(229) 231-5008
(229) 231-5539
Mailing address
108 N 4TH ST, VIENNA, GA 31092-1115
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932748894
—
GA
Enumeration date
01/30/2023
Last updated
01/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us