| Valley Pediatrics | |
|
5555 Whittlesey Blvd Columbus GA 31909-7212 | |
| (706) 221-6116 | |
| (706) 221-6226 |
| Full Name | Valley Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5555 Whittlesey Blvd, Columbus, Georgia |
| Authorized Official Name and Position | Ben Overby (ADMINISTRATOR) |
| Authorized Official Contact | 7062216116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Pediatrics Po Box 9007 Columbus GA 31908-9007 Ph: (706) 221-6116 | Valley Pediatrics 5555 Whittlesey Blvd Columbus GA 31909-7212 Ph: (706) 221-6116 |
| NPI Number | 1639439631 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639439631 | NPI | - | NPPES |
| 67863 | Other | GA | GA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 67863 (Georgia) | Primary |
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