Pediatricare Pm

NPI #1497820468 in Augusta, Georgia

Provider Information

NPI Number: 1497820468
Entity Type: Organization
Organization Name: Pediatricare Pm
Primary Specialty: Pediatrics
Enumeration Date: Nov 22, 2006
Last Updated: Dec 26, 2008

Practice Location

Address: 1215 W WHEELER PKWY
City: Augusta
State: Georgia
ZIP Code: 30909-1899
Phone: (706) 868-1906

Authorized Official

Name: TERRI COOK
Title: BUSINESS MANAGER
Phone: (706) 495-9627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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