Child and Adolescent Medical Providers, P.c.

NPI #1215093430 in Lavonia, Georgia

Provider Information

NPI Number: 1215093430
Entity Type: Organization
Organization Name: Child and Adolescent Medical Providers, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Dec 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 13375 JONES ST STE C
City: Lavonia
State: Georgia
ZIP Code: 30553-1147
Phone: (706) 356-5439

Authorized Official

Name: DAVID C MARTIN, MD
Title: CEO
Phone: (706) 356-5439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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