institution
Jefferson Pediatrics, Inc.
Primary Care Clinic/Center in Jefferson, Georgia
NPI 1336411347

Jefferson Pediatrics, Inc. is a Primary Care Clinic/Center based in Jefferson, GA and is specialized in Primary Care. Jefferson Pediatrics, Inc. practices in Jefferson, GA. The NPI Number for Jefferson Pediatrics, Inc. is 1336411347 and holds a License No. 038372 (Georgia).

The current practice location address for Jefferson Pediatrics, Inc. is 2610 Highway 129 N, Jefferson, GA and can be reached out via phone at 706-367-1010.

Location: 2610 Highway 129 N, Jefferson, GA, 30549-2652
institution
Provider Profile Details
NPI Number
1336411347
Provider Name
Jefferson Pediatrics, Inc.
Credential
Provider Entity Type
Organization
Address
2610 Highway 129 N, Jefferson, GA, 30549-2652
Phone Number
706-367-1010
Fax Number
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10055116 01 GA AMERIGROUP
309153 01 GA WELLCARE
00608253H 05 GA
institution
Provider Business Practice Location Address Details
Address
2610 Highway 129 N
City
State
Zip
30549-2652
Phone Number
706-367-1010
Fax Number
person
Provider Business Mailing Address Details
Address
2610 Highway 129 N
City
State
Zip
30549-2652
Phone Number
706-367-1010
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
038372 (Georgia)
Definition
Definition to come...
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