Organization
PEDIATRIC ASSOCIATES OF THOMASTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY E MANSFIELD MD (CEO)
(706) 646-4543
Entity
Organization
Contact information
Practice address
331 W MAIN ST, THOMASTON, GA 30286-3502
(706) 646-4543
(706) 938-0401
Mailing address
331 W MAIN ST, THOMASTON, GA 30286-3502
(706) 646-4543
(706) 938-0401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
09/11/2013
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