Organization
PRIMARY PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE SLADE MD (PRESIDENT)
(478) 741-3007
Entity
Organization
Contact information
Practice address
5300 BOWMAN RD, MACON, GA 31210
(478) 741-3007
(478) 200-1960
Mailing address
5300 BOWMAN RD, MACON, GA 31210
(478) 741-3007
(478) 200-1960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003216177A
—
GA
05
—
300034047A
—
GA
Enumeration date
10/26/2006
Last updated
04/09/2025
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