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Organization

AUGUSTA PEDIATRIC CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DAVID ALLEN M.D. (PRESIDENT)
(706) 737-0111
Entity
Organization

Contact information

Practice address
3540 WHEELER RD, SUITE 302, AUGUSTA, GA 30909-1871
(706) 737-0111
(706) 737-0442
Mailing address
3540 WHEELER RD, SUITE 302, AUGUSTA, GA 30909-1871
(706) 737-0111
(706) 737-0442

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/26/2006
Last updated
08/22/2020
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