Organization
YOUTHCARE PEDIATRICS OF CENTRAL GEORGIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEPHEN WADE MD (OWNER/PHYSICIAN)
(478) 923-3360
Entity
Organization
Contact information
Practice address
233 N HOUSTON RD, SUITE 140-H, WARNER ROBINS, GA 31093-3074
(478) 923-3360
(478) 923-9977
Mailing address
233 N HOUSTON RD, STE 140 H, WARNER ROBINS, GA 31093-3074
(478) 923-3360
(478) 923-9977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000377836D
—
GA
Enumeration date
02/20/2008
Last updated
04/13/2009
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