Mama Doc Pediatrics, LLC
NPI #1477009181 in Statesboro, Georgia
Provider Information
- NPI Number
- 1477009181
- Entity Type
- Organization
- Organization Name
- Mama Doc Pediatrics, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 400 EAST GRADY STREET
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458
- Phone
- (912) 871-5437
Authorized Official
- Name
- DR. ELIZABETH LOGAN PENN, M.D.
- Title
- PHYSICIAN / PRESIDENT
- Phone
- (912) 871-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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