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East Georgia Pediatrics
Specialist in Statesboro, Georgia
NPI 1295999795

East Georgia Pediatrics is a Specialist based in Statesboro, GA. East Georgia Pediatrics practices in Statesboro, GA. The NPI Number for East Georgia Pediatrics is 1295999795 and holds a License No. (Georgia).

The current practice location address for East Georgia Pediatrics is 715 Northside Dr E, Statesboro, GA and can be reached out via phone at 912-489-3325 and via fax at 912-764-4977.

Location: 715 Northside Dr E, Statesboro, GA, 30458-5387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295999795
Provider Name
East Georgia Pediatrics
Credential
Provider Entity Type
Organization
Address
715 Northside Dr E, Statesboro, GA, 30458-5387
Phone Number
912-489-3325
Fax Number
912-764-4977
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10051619 01 GA AMERIGROUP
000372391G 05 GA
354428 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
715 Northside Dr E
City
Statesboro
State
Georgia
Zip
30458-4712
Phone Number
912-489-3325
Fax Number
912-764-4977
person
Provider Business Mailing Address Details
Address
715 Northside Dr E
City
Statesboro
State
Georgia
Zip
30458-4712
Phone Number
912-489-3325
Fax Number
912-764-4977
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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