Organization
AUGUST PEDIATRICS TEENS N TOTS PEDIATRICS
Active
Other names
Teens N Tots Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CLINE (OFFICE MANAGER)
(000) 000-0002
Entity
Organization
Contact information
Practice address
123 N 19TH ST STE 302, MIDDLESBORO, KY 40965-2865
(606) 302-7036
Mailing address
123 N 19TH ST STE 302, MIDDLESBORO, KY 40965-2865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012178
—
KY
Enumeration date
03/07/2019
Last updated
03/08/2019
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