| Careconnect Pediatrics | |
|
760 26th Ave Se Moultrie GA 31768-6799 | |
| (229) 985-1457 | |
| (229) 891-3937 |
| Full Name | Careconnect Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 760 26th Ave Se, Moultrie, 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 |
|---|---|
| Careconnect Pediatrics Po Box 5610 Cordele GA 31010-5610 Ph: (229) 273-8881 | Careconnect Pediatrics 760 26th Ave Se Moultrie GA 31768-6799 Ph: (229) 985-1457 |
| NPI Number | 1255818803 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20180906003529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255818803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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