| Sumter Pediatrics | |
|
340 Us Highway 19 S Leesburg GA 31763-4872 | |
| (229) 814-1174 | |
| Not Available |
| Full Name | Sumter Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 340 Us Highway 19 S, Leesburg, Georgia |
| Authorized Official Name and Position | Nelson Madrazo (MANAGING MEMBER) |
| Authorized Official Contact | 2299248082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Pediatrics 340 Us Highway 19 S Leesburg GA 31763-4872 Ph: (229) 814-1174 | Sumter Pediatrics 340 Us Highway 19 S Leesburg GA 31763-4872 Ph: (229) 814-1174 |
| NPI Number | 1033502299 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033502299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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