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Organization

CHILDREN'S CLINIC, LLP

Active
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Organization

CHILDREN'S CLINIC, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NELSON S CARSWELL JR. M.D. (MANAGING PARTNER)
(478) 272-2623
Entity
Organization

Contact information

Practice address
2406 BELLEVUE RD, BLDG 10, DUBLIN, GA 31021-6105
(478) 272-2623
(478) 272-9984
Mailing address
2406 BELLEVUE RD, BLDG 10, DUBLIN, GA 31021-6105
(478) 272-2623
(478) 272-9984

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
000245572B
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300021882A
GA
Enumeration date
06/27/2005
Last updated
05/29/2008
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