Organization
PEDIATRIC & ADOLESCENT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MEGOW MD (PRESIDENT)
(229) 259-4905
Entity
Organization
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 259-4905
Mailing address
PO BOX 1666, VALDOSTA, GA 31603-1666
(229) 259-4905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
07/21/2022
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