Organization
PREMIER PEDIATRICS OF ALBANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS A TWEDT D.O. (OWNER)
(229) 423-7444
Entity
Organization
Contact information
Practice address
1909 ABERDEEN RD, SUITE 106, ALBANY, GA 31701-1393
(229) 432-7444
(229) 432-7445
Mailing address
1909 ABERDEEN RD, SUITE 106, ALBANY, GA 31701-1393
(229) 432-7444
(229) 432-7445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
063038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743298007B
—
GA
05
—
920320381B
—
GA
Enumeration date
04/16/2010
Last updated
04/16/2010
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