| Children First Pediatric Clinic | |
|
1267 Interstate Pkwy Augusta GA 30909-6481 | |
| (706) 868-0919 | |
| (706) 868-0929 |
| Full Name | Children First Pediatric Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1267 Interstate Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Rosalito C Cruz (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7062315977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children First Pediatric Clinic 786 Locks Way Martinez GA 30907-4976 Ph: (706) 231-5977 | Children First Pediatric Clinic 1267 Interstate Pkwy Augusta GA 30909-6481 Ph: (706) 868-0919 |
| NPI Number | 1568766293 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568766293 | NPI | - | NPPES |
| 000940354E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 051131 (Georgia) | Primary |
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