Organization
AFFINITY PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY WILKERSON (ADMINISTRATOR)
(229) 391-4100
Entity
Organization
Contact information
Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Mailing address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049525
GA
2080P0208X
Pediatric Infectious Diseases Physician
049525
GA
Other
Enumeration date
11/14/2009
Last updated
11/14/2009
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