Organization
CHILDREN'S CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON S CARSWELL JR. M.D. (MANAGING PARTNER)
(478) 272-2623
Entity
Organization
Contact information
Practice address
2406 BELLEVUE RD, BLDG 10, DUBLIN, GA 31021-6105
(478) 272-2623
(478) 272-9984
Mailing address
2406 BELLEVUE RD, BLDG 10, DUBLIN, GA 31021-6105
(478) 272-2623
(478) 272-9984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
000245572B
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021882A
—
GA
Enumeration date
06/27/2005
Last updated
05/29/2008
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