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Contact Information

PEDIATRIC FIRST, PC
1049 N HOUSTON RD
WARNER ROBINS, GA31093-1505
 Phone: 478-922-9001
 Fax: 478-329-8619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC FIRST PC · (Female)

NPI # 1407894165
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2006
Last updated 04/13/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 015890
  • GA License # 042560
  • GA License # 052204
  • GA Medicaid 011397770A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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