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Organization

RIVERTOWN PEDIATRICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA LEDBETTER RN (PRACTICE MANAGER)
(706) 327-1281
Entity
Organization

Contact information

Practice address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281
(706) 576-9714
Mailing address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073756169
GA
05
1235225541
GA
05
1275649758
GA
05
1528173036
GA
05
1558457549
GA
05
1780791657
GA
05
1861509812
GA
Enumeration date
10/05/2006
Last updated
03/20/2020
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