Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHILD AND ADOLESCENT MEDICAL PROVIDERS, P.C.
Active OrganizationPediatrics · LAVONIA, GA
Registration Details
- NPI Number
- 1215093430
- Provider Type
- Organization
- NPI Issued
- Dec 29, 2006 (19.360742204178 yrs)
- Last Updated
- Aug 22, 2020
- License
-
047486 (GA)
Practice Information
- Address
-
13375 JONES ST STE CLAVONIA, GA, 305531147Browse GA providers · Browse ZIP 30553
- Phone
- 7063565439
- Fax
- 7063565897
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.