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Mountainside Pediatrics
Primary Care Clinic/Center in Jasper, Georgia
NPI 1710267505

Mountainside Pediatrics is a Primary Care Clinic/Center based in Jasper, GA and is specialized in Primary Care. Mountainside Pediatrics practices in Jasper, GA. The NPI Number for Mountainside Pediatrics is 1710267505 and holds a License No. 42648 (Georgia).

The current practice location address for Mountainside Pediatrics is 12 Sammy Mcghee Blvd, Jasper, GA and can be reached out via phone at 706-253-9898 and via fax at 706-253-9896.

Location: 12 Sammy Mcghee Blvd, Jasper, GA, 30143-7711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710267505
Provider Name
Mountainside Pediatrics
Credential
Provider Entity Type
Organization
Address
12 Sammy Mcghee Blvd, Jasper, GA, 30143-7711
Phone Number
706-253-9898
Fax Number
706-253-9896
Provider Enumeration Date
08/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Sammy Mcghee Blvd
City
Jasper
State
Georgia
Zip
30143-7711
Phone Number
706-253-9898
Fax Number
706-253-9896
person
Provider Business Mailing Address Details
Address
12 Sammy Mcghee Blvd
City
Jasper
State
Georgia
Zip
30143-7711
Phone Number
706-253-9898
Fax Number
706-253-9896
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
42648 (Georgia)
Definition
Definition to come...
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