Pediatric Convenient Care | |
1909 Hwy. 82 West Suites 3 & 4 Tifton GA 31793 | |
(229) 445-3509 | |
(229) 445-3513 |
Full Name | Pediatric Convenient Care |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1909 Hwy. 82 West, Tifton, Georgia |
Authorized Official Name and Position | Linda Young (EXECUTIVE SECRETARY) |
Authorized Official Contact | 2292738881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Convenient Care P.o. Box 5610 Cordele GA 31010 Ph: (229) 273-8881 | Pediatric Convenient Care 1909 Hwy. 82 West Suites 3 & 4 Tifton GA 31793 Ph: (229) 445-3509 |
NPI Number | 1528556990 |
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Provider Enumeration Date | 05/01/2018 |
Last Update Date | 01/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528556990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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