Organization
SUMTER PEDIATRICS LLC
Active
Other names
SUMTER PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON MADRAZO MD (MANAGING MEMBER)
(229) 924-8082
Entity
Organization
Contact information
Practice address
340 US HIGHWAY 19 S, LEESBURG, GA 31763-4872
(229) 814-1174
Mailing address
340 US HIGHWAY 19 S, LEESBURG, GA 31763-4872
(229) 814-1174
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
04/20/2016
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