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THE AFTER OWLS PEDIATRIC CARELLC NPI 1972880995


NPI Information

NPI: 1972880995
Provider Name: THE AFTER OWLS PEDIATRIC CARE,LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
102 BOWLING LN
DUBLIN, GA
ZIP 31021
Phone: (478) 272-0203
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THE AFTER OWLS PEDIATRIC CARE,LLC is a pediatrics in Dublin, 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. THE AFTER OWLS PEDIATRIC CARE,LLC NPI is 1972880995. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 BOWLING LN
DUBLIN, GA
ZIP 31021-502
Phone: (478) 272-0203
Fax: (478) 272-0223

The provider's authorized official is Robyn Soos .
The authorized official title is Practice Manager and has the following contact phone number (478) 272-0203.

The enumeration date for this NPI number is 11/4/2011 and was last updated on 11/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics049093GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000906529EMEDICAIDGEORGIA

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: 4/28/2024

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