Organization
NEW MEDICAL CENTER PC
Active
Other names
KIDS CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANDLAL CHAINANI MD (CEO)
(229) 386-5101
Entity
Organization
Contact information
Practice address
72 KENT RD STE 4, TIFTON, GA 31794-1695
(229) 386-5101
(229) 386-2277
Mailing address
72 KENT RD STE 4, TIFTON, GA 31794-1695
(229) 386-5101
(229) 386-2277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63840
GA
208000000X
Pediatrics Physician
44893
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G701254
MEDICARE PTAN
GA
05
—
7959569408A
—
GA
Enumeration date
02/07/2008
Last updated
08/30/2023
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