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SYLVESTER PEDIATRICS & ADOLESCENT MEDICINE P.C. NPI 1629125505


NPI Information

NPI: 1629125505
Provider Name: SYLVESTER PEDIATRICS & ADOLESCENT MEDICINE, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
203 WEST KELLY ST
SYLVESTER, GA
ZIP 31791
Phone: (009) 777-0488
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SYLVESTER PEDIATRICS & ADOLESCENT MEDICINE, P.C. is a pediatrics in Sylvester, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SYLVESTER PEDIATRICS & ADOLESCENT MEDICINE, P.C. NPI is 1629125505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 WEST KELLY ST
SYLVESTER, GA
ZIP 31791-367
Phone: (009) 777-0488
Fax: (229) 777-0476

The provider's authorized official is Grace Davis .
The authorized official title is Ceo and has the following contact phone number (229) 777-0488.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100085003076GMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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