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Organization
SUMTER PEDIATRICS LLC
Active
Organization
SUMTER PEDIATRICS LLC
Active
Parent organization
SUMTER PEDIATRICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMTER PEDIATRICS LLC
Authorized official
NELSON MADRAZO (MANAGING MEMBER)
(229) 924-8082
Entity
Organization
Contact information
Practice address
151 GA HIGHWAY 27 E, AMERICUS, GA 31709-5249
(229) 924-8082
Mailing address
PO BOX 288, AMERICUS, GA 31709-0288
(229) 924-8082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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