institution
Southeast Georgia Pediatrics
Primary Care Clinic/Center in Waycross, Georgia
NPI 1457613192

Southeast Georgia Pediatrics is a Primary Care Clinic/Center based in Waycross, GA and is specialized in Primary Care. Southeast Georgia Pediatrics practices in Waycross, GA. The NPI Number for Southeast Georgia Pediatrics is 1457613192 and holds a License No. 041044 (Georgia).

The current practice location address for Southeast Georgia Pediatrics is 1701 Boulevard Sq Ste D, Waycross, GA and can be reached out via phone at 912-387-0445 and via fax at 912-226-3513.

Location: 1701 Boulevard Sq Ste D, Waycross, GA, 31501-8022
institution
Provider Profile Details
NPI Number
1457613192
Provider Name
Southeast Georgia Pediatrics
Credential
Provider Entity Type
Organization
Address
1701 Boulevard Sq Ste D, Waycross, GA, 31501-8022
Phone Number
912-387-0445
Fax Number
912-226-3513
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780767665 01 NPI
1063595973 01 NPI
institution
Provider Business Practice Location Address Details
Address
1701 Boulevard Sq Ste D
City
State
Zip
31501-8022
Phone Number
912-387-0445
Fax Number
912-226-3513
person
Provider Business Mailing Address Details
Address
1701 Boulevard Sq Ste D
City
State
Zip
31501-8022
Phone Number
912-387-0445
Fax Number
912-226-3513
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
041044 (Georgia)
Definition
Definition to come...
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