Santo Nino Pediatric Clinic, PC

NPI #1760431605 in Augusta, Georgia

Provider Information

NPI Number: 1760431605
Entity Type: Organization
Organization Name: Santo Nino Pediatric Clinic, PC
Primary Specialty: Pediatrics
Enumeration Date: May 8, 2006
Last Updated: Aug 17, 2018

Practice Location

Address: 1722 CENTRAL AVE
City: Augusta
State: Georgia
ZIP Code: 30904-5737
Phone: (706) 855-7414

Authorized Official

Name: MR. ALBERTO RICO NAFARRETE
Title: OFFICE MANAGER
Phone: (706) 855-7414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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