Organization
PEDIATRIC SERVICES OF AMERICA, INC
Active
Other names
PSA Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DALE VALENTINE (VP COMPLIANCE)
(770) 248-8757
Entity
Organization
Contact information
Practice address
1120 W BROAD AVE, UNIT B-1, ALBANY, GA 31707-4397
(229) 435-3387
(229) 435-3847
Mailing address
310 TECHNOLOGY PKWY, NORCROSS, GA 30092-2932
(770) 441-1580
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
047-R-0377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
538807248C
—
GA
Enumeration date
10/17/2007
Last updated
07/21/2008
About Stedi
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