Organization
KIDS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARA MILLS (OFFICE MANAGER)
(229) 424-7341
Entity
Organization
Contact information
Practice address
119 NORMAN DORMINY DR STE A, FITZGERALD, GA 31750-8855
(229) 423-5437
(229) 424-0868
Mailing address
PO BOX 1027, FITZGERALD, GA 31750-1027
(229) 423-5437
(229) 424-0868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
026873
GA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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