Organization
MILLEDGEVILLE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKEYCIA MICHELLE ROBINSON (OFFICE MANAGER)
(478) 453-9383
Entity
Organization
Contact information
Practice address
750 N COBB ST STE 230, MILLEDGEVILLE, GA 31061-7162
(478) 453-9383
(478) 452-1147
Mailing address
750 N COBB ST STE 230, MILLEDGEVILLE, GA 31061-7162
(478) 453-9383
(478) 452-1147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011822A
—
GA
05
—
741629148A
—
GA
Enumeration date
02/09/2009
Last updated
08/08/2011
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