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Organization

PEDIATRIC FIRST, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANTANU DAS MD (PHYSICIAN-OWNER)
(478) 922-9001
Entity
Organization

Contact information

Practice address
1049 N HOUSTON RD, WARNER ROBINS, GA 31093-1505
(478) 922-9001
(478) 329-8619
Mailing address
1049 N HOUSTON RD, WARNER ROBINS, GA 31093-1505
(478) 922-9001
(478) 329-8619

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015890
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
042560
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
052204
GA
2080P0202X
Pediatric Cardiology Physician
015890
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011397770A
GA
Enumeration date
06/03/2006
Last updated
04/13/2009
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