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CENTRAL GEORGIA PEDIATRICS INC. NPI 1386912319


NPI Information

NPI: 1386912319
Provider Name: CENTRAL GEORGIA PEDIATRICS, INC.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
844 2ND ST
MACON, GA
ZIP 31201
Phone: (478) 746-6662
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CENTRAL GEORGIA PEDIATRICS, INC. is an adolescent medicine pediatrics in Macon, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CENTRAL GEORGIA PEDIATRICS, INC. NPI is 1386912319. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

844 2ND ST
MACON, GA
ZIP 31201-885
Phone: (478) 746-6662
Fax: (478) 746-8861

The provider's authorized official is Susan Okoro .
The authorized official title is Office Manager and has the following contact phone number (478) 746-6660.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 12/5/2011.


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
12080A0000XPediatricsAdolescent Medicine039194GEORGIAYes

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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