Organization
KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C
Active
Organization
KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL DALE THOMPSON-ARMANT M.D. (CEO)
(706) 650-0004
Entity
Organization
Contact information
Practice address
1215 GEORGE C.WILSON CT., SUITE B1, AUGUSTA, GA 30909-5704
(706) 650-0004
(706) 650-5889
Mailing address
1215 GEORGE C.WILSON CT., SUITE B1, AUGUSTA, GA 30909-5704
(706) 650-0004
(706) 650-5889
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
056931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865263766A
—
GA
Enumeration date
05/03/2010
Last updated
05/03/2010
Update your record
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