Organization
AUGUST PEDIATRICS, LLC
Active
Other names
Neighborhood Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW BROCK (CEO & OWNER)
(606) 302-7015
Entity
Organization
Contact information
Practice address
123 N 19TH ST STE 302, MIDDLESBORO, KY 40965
(606) 302-7036
Mailing address
123 N 19TH ST STE 302, MIDDLESBORO, KY 40965-2865
(606) 302-7036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123456789
MI
—
Enumeration date
02/12/2019
Last updated
02/13/2019
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