Organization
THE AFTER OWLS PEDIATRIC CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN SOOS (PRACTICE MANAGER)
(478) 272-0203
Entity
Organization
Contact information
Practice address
102 BOWLING LN, DUBLIN, GA 31021-2502
(478) 272-0203
(478) 272-0223
Mailing address
102 BOWLING LN, DUBLIN, GA 31021-2502
(478) 272-0203
(478) 272-0223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049093
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000906529E
—
GA
Enumeration date
11/04/2011
Last updated
11/04/2011
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