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Organization
RIVERTOWN PEDIATRICS, P.C.
Active
Organization
RIVERTOWN PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LEDBETTER RN (PRACTICE MANAGER)
(706) 327-1281
Entity
Organization
Contact information
Practice address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281
(706) 576-9714
Mailing address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073756169
—
GA
05
—
1235225541
—
GA
05
—
1275649758
—
GA
05
—
1528173036
—
GA
05
—
1558457549
—
GA
05
—
1780791657
—
GA
05
—
1861509812
—
GA
Enumeration date
10/05/2006
Last updated
03/20/2020
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