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Organization
PRIME PEDIATRICS PC
Active
Organization
PRIME PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE W CHADWICK (OFFICE MANAGER)
(706) 279-1994
Entity
Organization
Contact information
Practice address
1610 BROADRICK DR, DALTON, GA 30720-3012
(706) 279-1994
(706) 279-9229
Mailing address
1610 BROADRICK DR, DALTON, GA 30720-3012
(706) 279-1994
(706) 279-9229
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
37896
GA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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