Organization
VALLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN OVERBY (ADMINISTRATOR)
(706) 221-6116
Entity
Organization
Contact information
Practice address
5555 WHITTLESEY BLVD, COLUMBUS, GA 31909-7212
(706) 221-6116
(706) 221-6226
Mailing address
PO BOX 9007, COLUMBUS, GA 31908-9007
(706) 221-6116
(706) 221-6226
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
67863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67863
GA MEDICAL LICENSE
GA
Enumeration date
05/23/2012
Last updated
05/23/2012
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