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
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