Organization
KINDERCARE PEDIATRICS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC STOUT MD (PHYSICIAN/OWNER)
(912) 242-3791
Entity
Organization
Contact information
Practice address
174 ROYAL OAK DR, GUYTON, GA 31312-5624
(912) 677-3765
Mailing address
174 ROYAL OAK DR, GUYTON, GA 31312-5624
(912) 242-3791
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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