Organization
AMERICUS PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CHARLES CARLSON M.D. (PRESIDENT)
(229) 928-2299
Entity
Organization
Contact information
Practice address
116 W CHURCH ST, AMERICUS, GA 31709-3508
(229) 928-2299
(229) 924-5233
Mailing address
PO BOX 664, AMERICUS, GA 31709-0664
(229) 928-2299
(229) 924-5233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034554
GA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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