Organization
MITCHELL COUNTY PEDIATRICS AND HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANA WILLIAMS (RCM)
(678) 820-9447
Entity
Organization
Contact information
Practice address
94 E OAKLAND AVE STE A, CAMILLA, GA 31730-1529
(229) 449-6671
Mailing address
94 E OAKLAND AVE STE A, CAMILLA, GA 31730-1529
(229) 449-6671
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218939A
—
GA
Enumeration date
02/16/2022
Last updated
02/16/2022
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