Tots to Teens Medical Center

NPI #1982772182 in Vidalia, Georgia

Provider Information

NPI Number: 1982772182
Entity Type: Organization
Organization Name: Tots to Teens Medical Center
Primary Specialty: Pediatrics
Enumeration Date: Dec 4, 2006
Last Updated: Feb 9, 2009

Practice Location

Address: 303 HARRIS INDUSTRIAL BLVD.
Address 2: SUITE 1
City: Vidalia
State: Georgia
ZIP Code: 30474
Phone: (912) 537-9991

Authorized Official

Name: MS. JO E. SMITH, CMM
Title: PRACTICE ADMINISTRATOR
Phone: (912) 537-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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