Organization · Type 2 NPI
Southeast Georgia Pediatrics
Primary Care Clinic/Center · Waycross, GA
NPI number
1457613192
Active
Practice location
1701 Boulevard Sq Ste D
Waycross, GA 31501-8022
Fax (912) 226-3513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 041044 (GA) |
| Primary Care Clinic/Center Primary | 261QP2300X | 018950 (GA) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1457613192
Southeast Georgia Pediatrics's National Provider Identifier is 1457613192, issued on Jun 8, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Waycross, GA. The record was last updated on Jun 15, 2020.