Organization
KIDS FIRST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY BRADY (OFFICE MANAGER)
(478) 453-1020
Entity
Organization
Contact information
Practice address
530 N COBB ST, MILLEDGEVILLE, GA 31061-2635
(478) 453-1020
Mailing address
530 N COBB ST, MILLEDGEVILLE, GA 31061-2635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003095G
—
GA
Enumeration date
05/18/2007
Last updated
06/29/2010
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