| Sensational Kids | |
|
3580 River Watch Pkwy Martinez GA 30907-3682 | |
| (706) 364-3470 | |
| (706) 364-3470 |
| Full Name | Sensational Kids |
|---|---|
| Speciality | Clinic/center |
| Location | 3580 River Watch Pkwy, Martinez, Georgia |
| Authorized Official Name and Position | Jordan Wiley Bowling (PRESIDENT) |
| Authorized Official Contact | 7063643470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sensational Kids 3580 River Watch Pkwy Martinez GA 30907-3682 Ph: (706) 364-3470 | Sensational Kids 3580 River Watch Pkwy Martinez GA 30907-3682 Ph: (706) 364-3470 |
| NPI Number | 1962676502 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962676502 | NPI | - | NPPES |
| 689380396A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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