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Hometown Pediatrics Llc
Medical Specialty Clinic/Center in Vienna, Georgia
NPI 1013623263

Hometown Pediatrics Llc is a Medical Specialty Clinic/Center based in Vienna, GA and is specialized in Medical Specialty. Hometown Pediatrics Llc practices in Vienna, GA. The NPI Number for Hometown Pediatrics Llc is 1013623263 and holds a License No. (Georgia).

The current practice location address for Hometown Pediatrics Llc is 108 N 4Th St, Vienna, GA and can be reached out via phone at 229-231-5008 and via fax at 229-231-5539.

Location: 108 N 4Th St, Vienna, GA, 31092-1115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013623263
Provider Name
Hometown Pediatrics Llc
Credential
Provider Entity Type
Organization
Address
108 N 4Th St, Vienna, GA, 31092-1115
Phone Number
229-231-5008
Fax Number
229-231-5539
Provider Enumeration Date
01/30/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932748894 05 GA
institution
Provider Business Practice Location Address Details
Address
108 N 4Th St
City
Vienna
State
Georgia
Zip
31092-1115
Phone Number
229-231-5008
Fax Number
229-231-5539
person
Provider Business Mailing Address Details
Address
108 N 4Th St
City
Vienna
State
Georgia
Zip
31092-1115
Phone Number
229-231-5008
Fax Number
229-231-5539
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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