Organization
SOUTH GEORGIA PEDIATRIC AND ALLERGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JOSEPH ALVARADO MD (PRESIDENT)
(229) 247-2211
Entity
Organization
Contact information
Practice address
3440 N VALDOSTA RD, VALDOSTA, GA 31602-1079
(229) 247-2211
(229) 247-9313
Mailing address
3440 N VALDOSTA RD, VALDOSTA, GA 31602-1079
(229) 247-2211
(229) 247-9313
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
037463
GA
208000000X
Pediatrics Physician
037463
GA
208000000X
Pediatrics Physician
048706
GA
208000000X
Pediatrics Physician
053436
GA
2080A0000X
Pediatric Adolescent Medicine Physician
037463
GA
2080A0000X
Pediatric Adolescent Medicine Physician
048706
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
053436
GA
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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