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Organization
PEDIATRICS OF FLORENCE, PSC
Active
Organization
PEDIATRICS OF FLORENCE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA SUZANNE BATES (OFFICE MANAGER)
(859) 525-8181
Entity
Organization
Contact information
Practice address
7309 US HIGHWAY 42, FLORENCE, KY 41042-5561
(859) 525-8181
(859) 525-8289
Mailing address
7309 US HIGHWAY 42, FLORENCE, KY 41042-5561
(859) 525-8181
(859) 525-8289
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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