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PEDIATRICS OF GLYNN ON THE ISLAND NPI 1831210657


NPI Information

NPI: 1831210657
Provider Name: PEDIATRICS OF GLYNN ON THE ISLAND
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
172 FOLLINS LN
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 634-2795
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PEDIATRICS OF GLYNN ON THE ISLAND is a pediatrics in St Simons Island, 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. PEDIATRICS OF GLYNN ON THE ISLAND NPI is 1831210657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

172 FOLLINS LN
ST SIMONS ISLAND, GA
ZIP 31522-268
Phone: (912) 634-2795
Fax: (912) 638-5636

The provider's authorized official is Pamela C Lumpkin .
The authorized official title is Practice Manager and has the following contact phone number (912) 634-2795.

The enumeration date for this NPI number is 4/2/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1335898OTHERGEORGIAOWEN WELLCARE#
2365007OTHERGEORGIALEE HEERY WELLCARE #
300672977BMEDICAIDGEORGIA
410066698OTHERGEORGIAOWEN AMERIGROUP#
512545338912OTHERGEORGIACAROLE LYONS NPI
61699873299OTHERGEORGIALEE HEERY NPI#
7969118OTHERGEORGIALEE HEERY BCBS GA #
800760966BMEDICAIDGEORGIA
9335886OTHERGEORGIACAROLE LYONS WELLCARE#
1010065447OTHERGEORGIALEE HEERY AMERIGROUP
1110066660OTHERGEORGIACAROLE LYONS AMERIGROUP #
12963103OTHERGEORGIAFRANCES OWEN BCBS #

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: 11/14/2023

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