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AUGUSTA PEDIATRIC CLINIC PC NPI 1952486003


NPI Information

NPI: 1952486003
Provider Name: AUGUSTA PEDIATRIC CLINIC, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3540 WHEELER RD
SUITE 302
AUGUSTA, GA
ZIP 30909
Phone: (706) 737-0111
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AUGUSTA PEDIATRIC CLINIC, PC is a pediatrics in Augusta, 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. AUGUSTA PEDIATRIC CLINIC, PC NPI is 1952486003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3540 WHEELER RD
SUITE 302
AUGUSTA, GA
ZIP 30909-871
Phone: (706) 737-0111
Fax: (706) 737-0442

The provider's authorized official is John David Allen .
The authorized official title is President and has the following contact phone number (706) 737-0111.

The enumeration date for this NPI number is 10/26/2006 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

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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