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Beacon Pediatrics
Primary Care Clinic/Center in Waycross, Georgia
NPI 1043495963

Beacon Pediatrics is a Primary Care Clinic/Center based in Waycross, GA and is specialized in Primary Care. Beacon Pediatrics practices in Waycross, GA. The NPI Number for Beacon Pediatrics is 1043495963 and holds a License No. 045745 (Georgia).

The current practice location address for Beacon Pediatrics is 801 Beacon St, Waycross, GA and can be reached out via phone at 912-285-2440 and via fax at 912-287-0197.

Location: 801 Beacon St, Waycross, GA, 31501-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043495963
Provider Name
Beacon Pediatrics
Credential
Provider Entity Type
Organization
Address
801 Beacon St, Waycross, GA, 31501-7109
Phone Number
912-285-2440
Fax Number
912-287-0197
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000797024D 05 GA
institution
Provider Business Practice Location Address Details
Address
801 Beacon St
City
Waycross
State
Georgia
Zip
31501-7109
Phone Number
912-285-2440
Fax Number
912-287-0197
person
Provider Business Mailing Address Details
Address
801 Beacon St
City
Waycross
State
Georgia
Zip
31501-7109
Phone Number
912-285-2440
Fax Number
912-287-0197
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
045745 (Georgia)
Definition
Definition to come...
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