| Powerback Pediatrics Of Georgia Llc | |
|
785h King George Blvd Ste D Savannah GA 31419-9551 | |
| (888) 269-9876 | |
| Not Available |
| Full Name | Powerback Pediatrics Of Georgia Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 785h King George Blvd Ste D, Savannah, Georgia |
| Authorized Official Name and Position | John Cotcher (EVP OF PEDIATRICS) |
| Authorized Official Contact | 2486722593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powerback Pediatrics Of Georgia Llc 101 E State St Kennett Square PA 19348-3109 Ph: (800) 728-8808 | Powerback Pediatrics Of Georgia Llc 785h King George Blvd Ste D Savannah GA 31419-9551 Ph: (888) 269-9876 |
| NPI Number | 1770338360 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770338360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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