| Pediatric Convenient Care | |
|
1205 Us Highway 19 S Leesburg GA 31763-4878 | |
| (229) 759-7028 | |
| (229) 759-7030 |
| Full Name | Pediatric Convenient Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1205 Us Highway 19 S, Leesburg, Georgia |
| Authorized Official Name and Position | Linda Young (EXECUTIVE SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Convenient Care 804 E 16th Ave Cordele GA 31015-1514 Ph: (229) 273-8881 | Pediatric Convenient Care 1205 Us Highway 19 S Leesburg GA 31763-4878 Ph: (229) 759-7028 |
| NPI Number | 1285346270 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20230119001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285346270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Sumter Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-814-1174 | |
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