Pediatric & Adolescent Clinic, LLC

NPI #1225111594 in Valdosta, Georgia

Provider Information

NPI Number: 1225111594
Entity Type: Organization
Organization Name: Pediatric & Adolescent Clinic, LLC
Primary Specialty: Pediatrics
Enumeration Date: Oct 23, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 2501 N PATTERSON ST
City: Valdosta
State: Georgia
ZIP Code: 31602-1735
Phone: (229) 259-4905

Authorized Official

Name: KIMBERLY MEGOW, MD
Title: PRESIDENT
Phone: (229) 259-4905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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