Organization
PRESTIGE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA SMITH MD (OWNER/ADMINISTRATOR)
(229) 395-6400
Entity
Organization
Contact information
Practice address
600 POINTE NORTH BLVD, ALBANY, GA 31721-1513
(229) 903-4044
(229) 903-4055
Mailing address
600 POINTE NORTH BLVD, ALBANY, GA 31721-1513
(229) 903-4044
(229) 903-4055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
GA
Other
Enumeration date
08/06/2009
Last updated
02/06/2017
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