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Organization
PEDIATRICS ALPHA
Active
Organization
PEDIATRICS ALPHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSA ERINJERI M.D. (OWNER)
(478) 922-9205
Entity
Organization
Contact information
Practice address
1524 WATSON BLVD, SUITE B, WARNER ROBINS, GA 31093-3484
(478) 922-9205
Mailing address
1524 WATSON BLVD, SUITE B, WARNER ROBINS, GA 31093-3484
(478) 922-9205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00655487B
—
GA
01
—
12-00400
UNITED HEALTHCARE
GA
01
—
319475
WELLCARE
GA
01
—
581785
BLUE CROSS OF GA
GA
01
—
ERI002
SECURE HEALTH
GA
Enumeration date
03/07/2007
Last updated
08/22/2020
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