| Little P.c. | |
|
103 Park Ave Ste 200 Pooler GA 31322-4262 | |
| (912) 988-3655 | |
| (866) 475-6212 |
| Full Name | Little P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 Park Ave Ste 200, Pooler, Georgia |
| Authorized Official Name and Position | Monique Tucker (DIRECTOR OF INSURANCE) |
| Authorized Official Contact | 8439909998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little P.c. 250 Adley Way Greenville SC 29607 Ph: (843) 990-9998 | Little P.c. 103 Park Ave Ste 200 Pooler GA 31322-4262 Ph: (912) 988-3655 |
| NPI Number | 1871005934 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871005934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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