Organization
ABLE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON N MYERS MD (MANAGING PARTNER)
(706) 842-5331
Entity
Organization
Contact information
Practice address
3727 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2398
(706) 842-5331
(706) 842-5351
Mailing address
3727 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2398
(706) 842-5331
(706) 842-5351
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003139195G
—
GA
Enumeration date
03/15/2017
Last updated
03/06/2018
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