KIDS FIRST PEDIATRIC GROUP OF AUGUSTA P.C NPI 1487971230

NPI Information

KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C is a clinic center in Augusta, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C NPI is 1487971230. The provider is registered as an organization entity type.

The provider's business location address is:

1215 GEORGE C.WILSON CT.
SUITE B1
AUGUSTA, GA
ZIP 30909-704
Phone: (706) 650-0004
Fax: (706) 650-5889

The provider's authorized official is Carol Dale Thompson-armant .
The authorized official title is Ceo and has the following contact phone number (706) 650-0004.

The CLIA number assigned to this NPI record is 11D1052720 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 5/3/2010.

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:

Other Identifiers

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

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